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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive with Modification
    • Icon: Medium Medium
    • US CARIN Blue Button (FHIR)
    • 0.1 [deprecated]
    • Financial Mgmt
    • (profiles) [deprecated]
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      The base R4 EOB,  EOB.provider is a reference to (Practitioner | PractitionerRole | Organization). The base CARIN ExplanationofBenefit profile has Reference(CARIN_Blue_Button_Organization_Profile. 

       

      The CarinBBEOB profile will constrain the reference to (CarinBBPractitioner || CarinBBPractitionerRole || CarinBBOrganization).

       

      In the mapping that drove the CarinBB IG, the EOB.provider is the 'Party responsible for the claim'.   This varies for the different EOB subtypes, as follows:

      For Facility (Inpatient and Outpatient) Claims), this must be an Organization.
      For Professional/Non-Clinician and Pharmacy claims, this may be an Organization, Practitioner, or PractitionerRole.

      The Inpatient/Outpatient Facilitiy EOBs will constrain provider to CarinBBOrganization.

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      The base R4 EOB,  EOB.provider is a reference to (Practitioner | PractitionerRole | Organization). The base CARIN ExplanationofBenefit profile has Reference(CARIN_Blue_Button_Organization_Profile.    The CarinBBEOB profile will constrain the reference to (CarinBBPractitioner || CarinBBPractitionerRole || CarinBBOrganization).   In the mapping that drove the CarinBB IG, the EOB.provider is the 'Party responsible for the claim'.   This varies for the different EOB subtypes, as follows: For Facility (Inpatient and Outpatient) Claims), this must be an Organization. For Professional/Non-Clinician and Pharmacy claims, this may be an Organization, Practitioner, or PractitionerRole. The Inpatient/Outpatient Facilitiy EOBs will constrain provider to CarinBBOrganization.
    • Mark Roberts/Pat Taylor: 18-0-5
    • Correction
    • Compatible, substantive

    Description

      Relax EOB.provider to be a reference to Org or Practitioner

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            Unassigned Unassigned
            mark_roberts Mark Roberts
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              Updated:
              Resolved: