Stream: implementers
Topic: Payer-to-Payer API
Moira Dillon (Aug 31 2021 at 18:24):
Is the Payer Coverage Decision Exchange (PCDE) IG (http://hl7.org/fhir/us/davinci-pcde/STU1/) tended to be used to meet the Payer-to-Payer CMS recommendations for January 1, 2022? Or is the PCDE IG intended to be used for Prior Authorization Support (January 1, 2023)? Thank you
Lloyd McKenzie (Aug 31 2021 at 18:28):
PCDE is intended for a requirement that wasn't clearly reflected in the current final regulations. Da Vinci will be revisiting it in January and talking with CMS about their intentions, but there is no near-term regulatory requirement that would require it to be adopted.
Last updated: Apr 12 2022 at 19:14 UTC
