Stream: Da Vinci
Topic: (no topic)
Gary Gryan (Sep 14 2019 at 14:41):
https://davinci-prior-auth.logicahealth.org/fhir/debug/Claim
https://confluence.hl7.org/pages/viewpage.action?pageId=58654789
Mark Scrimshire (Dec 11 2019 at 16:04):
At the Philadelphia Da Vinci Connectathon two questions were raised that each have two parts:
1.1 How does a Health Plan know where to send the communication request and also
1.2 How to identify that a request was from a legitimate sender
2.1 Does the old payer need to provide data they may have received from a previous payer? (In the case where the new payer is the third payer in the 5 year period
2.2 Who is responsible for getting data from the oldest payer?)
I am going to work on a Google Doc that attempts to address these questions and will post it here for comment.
Last updated: Apr 12 2022 at 19:14 UTC
