Is a user, (provider or patient: see Use Case) able to identify supported services that are covered benefits by the plan for their particular need?

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    • Type: Question
    • Resolution: Considered - Question answered
    • Priority: Highest
    • US Da Vinci PDex Plan Net (FHIR)
    • 0.1 [deprecated]
    • Financial Mgmt
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      The requested capability is out of scope for the Provider Directory IG.

      Other IGs are focused on providing benefit information for a specific service or group of services (e.g. Real Time Benefits Check)

      Using the Provider Directory, the user could discover that a particular provider is offering a specific  service/speciality and is part of their payer's network.

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      The requested capability is out of scope for the Provider Directory IG. Other IGs are focused on providing benefit information for a specific service or group of services (e.g. Real Time Benefits Check) Using the Provider Directory, the user could discover that a particular provider is offering a specific  service/speciality and is part of their payer's network.
    • Laurie Burckhardt/Mark Scrimshire: 31-0-0

      Is a user, (provider or patient: see Use Case) able to identify supported services that are covered benefits by the plan for their particular need in addition to the other information provided, assuming a user is a patient looking for services that are benefits or provider is wanting to find another provider and ensure the desired service is a benefit through this resource?

            Assignee:
            Unassigned
            Reporter:
            klsalzman
            Watchers:
            1 Start watching this issue

              Created:
              Updated:
              Resolved: