Stream: implementers
Topic: EOB entry versioning and updates
Elkhan Yusubov (Oct 19 2018 at 17:16):
My understanding is that a unique ExplanationOfBenefit (EOB) resource defined by its “id”.
It is a unique identifier for EOB resource.
Will new EOB generated with new “id”, when EOB gets updated in CMS, (example: a claim gets adjusted or voided) ?
OR same EOB identifier is used, and inner references information is updated (like: "claim": {"reference": "Claim/100150", "disposition", "adjudication", etc.} ?
Lloyd McKenzie (Oct 19 2018 at 17:21):
My understanding is that an EOB is a point-in-time report. If a new 'report' gets generated at a new time, it'll have a new id. Checking with @Paul Knapp to confirm...
Paul Knapp (Oct 19 2018 at 17:37):
Lloyd is correct, a new EOB would be a new instance and therefore a new ID would be issued.
Elkhan Yusubov (Oct 19 2018 at 18:30):
@Lloyd McKenzie Thanks for response, would there be any link or reference between previous and new related EOBs ?
Lloyd McKenzie (Oct 19 2018 at 18:32):
What would the relationship be between them? Typically you just get a point in time EOB saying "as of now, for period X, your benefits have been Y"
Elkhan Yusubov (Oct 19 2018 at 18:56):
Would new EOB get generated with a previous(parent) billablePeriod info for eob-type carrier ?
Lloyd McKenzie (Oct 19 2018 at 18:58):
@Paul Knapp
Paul Knapp (Oct 22 2018 at 10:19):
@Yusubov The billablePeriod wouldn't change as it is based on the Claim. The created date would change as it is the date the EOB was created.
Elkhan Yusubov (Oct 22 2018 at 12:13):
Thanks @Paul Knapp for clarification!
Last updated: Apr 12 2022 at 19:14 UTC
