2015May core #1219 - Claim.coverage.sequence definition should not refer to service line items

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Medium
    • FHIR Core (FHIR)
    • DSTU1 [deprecated]
    • Financial Mgmt
    • Claim
    • 7.1.2
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      Change the definition of Claim.coverage.sequence t0 something along the lines of 'coordination of benefit processing order'

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      Change the definition of Claim.coverage.sequence t0 something along the lines of 'coordination of benefit processing order'
    • Grahame Grieve / Michelle Miller: 8-0-0
    • Clarification
    • Non-substantive
    • DSTU1 [deprecated]

      Existing Wording: Claim Scope and Usage = Multiple insurance programs arranged in a Coordination of Benefit sequence to enable exchange with primary, secondary, tertiary etc. insurance coverages

      Claim.coverage.sequence has definition of "A service line item" with requirements "To maintain order of the coverages"

      Comment:

      I would like to know how claim supports coordination of benefit coverage sequences. If that is intended to be conveyed via Claim.coverage.sequence, then the definition of Claim.coverage.sequence should not be referring to service line items

      Additional URL: http://hl7.org/fhir/2015May/claim-definitions.html#Claim.coverage.sequence

            Assignee:
            Unassigned
            Reporter:
            Michelle Miller
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: