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  1. FHIR Specification Feedback
  2. FHIR-36113

PAS Claim Inquiry has Claim.extension:certificationType while PAS Claim/Update does not

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • US Da Vinci PAS (FHIR)
    • 1.2.0-ballot [deprecated]
    • Financial Mgmt
    • PAS Claim
      PAS Claim Inquiry
      PAS Claim Update
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      On the inquiry, you can ask for any claims that are of a specific type AND you can also limit claims where one of the items is of a specific type.  For example, you could be asking for Appeal claims where the referral item was an extension.

      For Requests, since we don't support a patient-level request, i.e. all requests get pushed down to the service level, we don't have a mapping to the UM at the patient level and thus only need to have the certification type at the item level.

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      On the inquiry, you can ask for any claims that are of a specific type AND you can also limit claims where one of the items is of a specific type.  For example, you could be asking for Appeal claims where the referral item was an extension. For Requests, since we don't support a patient-level request, i.e. all requests get pushed down to the service level, we don't have a mapping to the UM at the patient level and thus only need to have the certification type at the item level.
    • Bob Dieterle / Rachael Foerster : 10-0-1

    Description

      PAS Claim Inquiry has Claim.extension:certificationType. However, PAS Claim/Update does not.

      It is not abundantly clear why this is on the Inquiry version, but not the version used to submit authorizations and updates. 

      The PAS Claim contains this currently at the item level, but not the overall "Event" level. This field seems less beneficial on the Inquiry and it seems like if it is not on PAS Claim/Update it probably shouldn't be on the Inquiry.

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            Unassigned Unassigned
            abarbieri Andrew Barbieri (Inactive)
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              Updated:
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