Need a use case that does not use X12 and that goes directly from doctor to payer and from payor to doctor without going through a clearing house. - PAS #251

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    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Medium
    • US Da Vinci PAS (FHIR)
    • STU3
    • Financial Mgmt
    • (profiles) [deprecated]
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      At present, failure to use X12 isn't permitted based on regulation.  The specification will not show use-cases not supported by regulation.  If regulations evolve, the use-case could potentially be demonstrated in the future.

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      At present, failure to use X12 isn't permitted based on regulation.  The specification will not show use-cases not supported by regulation.  If regulations evolve, the use-case could potentially be demonstrated in the future.
    • Mark Scrimshire / Mary Kay McDaniel: 19-0-0

      Existing Wording: However, adoption of X12 by EHR implementers has been low. and "Discussion with EHR implementers has suggested that a FHIR-based process for submitting prior authorization requests would have significantly higher uptake." but this FHIR proposal still uses X12. Need a use case that does not use X12 and that goes directly from doctor to payer and from payor to doctor without going through a clearing house.

      Summary:

      Need a use case that does not use X12 and that goes directly from doctor to payer and from payor to doctor without going through a clearing house.

            Assignee:
            Unassigned
            Reporter:
            kathy_walsh
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: