Won't there also be a need for a non-solicited Communicaton from the Old Payor to the New Payor? - PCDE #90

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Medium
    • US Da Vinci PCDE (FHIR)
    • STU3
    • Financial Mgmt
    • (profiles) [deprecated]
    • 4.2.2
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      Will create a new diagram showing what the flow would look like for scenarios where patient is not authenticating to the new payer.

      Will adjust the CommunicationRequest to allow the authorization to span a time-period. Will set an expectation that the 'old' payer should prepare and make available a document:
      - at the time the request is received
      - when the new payer asks for it (so long as within the authorized time-frame). Subsequent requests would be new CommunicationRequests with a 'based-on' link to the original and falls within the same time-period.

      Will ensure wording indicates that there needs to be authorization for the new payer to access the document after the expiration of the CommunicationRequest (as the Communication might not be prepared immediately as of the end date and there needs to be time for the new payer to pull it down).

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      Will create a new diagram showing what the flow would look like for scenarios where patient is not authenticating to the new payer. Will adjust the CommunicationRequest to allow the authorization to span a time-period. Will set an expectation that the 'old' payer should prepare and make available a document: - at the time the request is received - when the new payer asks for it (so long as within the authorized time-frame). Subsequent requests would be new CommunicationRequests with a 'based-on' link to the original and falls within the same time-period. Will ensure wording indicates that there needs to be authorization for the new payer to access the document after the expiration of the CommunicationRequest (as the Communication might not be prepared immediately as of the end date and there needs to be time for the new payer to pull it down).
    • Robert Dieterle / Mary Kay McDaniel: 20-0-1
    • Clarification
    • Non-substantive

      Comment:

      Won't there also be a need for a non-solicited Communicaton from the Old Payor to the New Payor?

      Summary:

      Won't there also be a need for a non-solicited Communicaton from the Old Payor to the New Payor?

            Assignee:
            Unassigned
            Reporter:
            Paul Knapp
            Watchers:
            5 Start watching this issue

              Created:
              Updated:
              Resolved: