Page 8, rows 2,6,12: Why are the standard term eligible and benefit not used? Payment is not the same concept as benefit

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Highest
    • US CARIN Blue Button (FHIR)
    • 0.1 [deprecated]
    • Financial Mgmt
    • (NA)
    • Hide

      Values of eligible and benefit from the HL7 Code System, Adjudication, will be used.  However, eligible and benefit are different from the amount paid as deductibles or co-pays may be first applied.  

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      Values of eligible and benefit from the HL7 Code System, Adjudication, will be used.  However, eligible and benefit are different from the amount paid as deductibles or co-pays may be first applied.  
    • Mark Roberts/Pat Taylor: 18-0-5
    • Clarification
    • Non-substantive

      J.URL (CARIN%20Blue%20Button%20Framework_072219_BCBSA_11192019.pdf). Page 8, rows 2,6,12: Why are the standard term eligible and benefit not used? Payment is not the same concept as benefit.

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

              Created:
              Updated:
              Resolved: