Stream: CARIN IG for Blue Button®
Topic: EOB Base Changed to An Abstract
Courtney Bland (Aug 27 2020 at 18:04):
Hello. I was hoping someone might help clear up some confusion for me. It seems like version v0.1.0 of the CARIN guide , it was acceptable to have EOB as its own profile that can be requested by consuming apps. Is that correct? It seems like the build version changes it so that it is an abstract profile that cannot be requested and only is used as a basis for other profiles. I just want to make sure that the intent of the EOB base profile changed and NOT that it was always intended to work as an abstract. Thank you for your help.
Ryan Howells (Aug 28 2020 at 17:10):
- Folks on our technical team who can help @Saul Kravitz @Amol Vyas @Pat Taylor @josh lamb @Igor Sirkovich
Josh Lamb (Aug 28 2020 at 19:47):
@Courtney Bland The EOB base profile is only meant to act as the base for other profiles and should not be directly instantiated. The purpose of the base profile to is hold the fields that are common across all of the CARIN EOB profiles. The intent of the profile has always been to serve as a base profile, rather than be directly instantiated (as per my understanding).
Courtney Bland (Aug 31 2020 at 15:29):
josh lamb said:
Courtney Bland The EOB base profile is only meant to act as the base for other profiles and should not be directly instantiated. The purpose of the base profile to is hold the fields that are common across all of the CARIN EOB profiles. The intent of the profile has always been to serve as a base profile, rather than be directly instantiated (as per my understanding).
Thank you @josh lamb for your reply. I think part of the confusion is the example provided for 0.1.0 seems to be for eob base and not for any of the other profiles. Plus, the CARIN mapping PPT indicates that the EOB base could be its own profile. Moreover, if there isn't a generic profile, then how would dental claims get classified? Would they come back on the professional profile? Yet, the capability statement doesn't have it as a supporting profile so there seems to be a conflict.
Josh Lamb (Aug 31 2020 at 18:31):
Vision and Dental profiles are incoming. These will be based upon the EOB base profile as well. @Amol Vyas can provide details about how the new profiles will be incorporated into IG.
Courtney Bland (Sep 01 2020 at 01:38):
josh lamb said:
Vision and Dental profiles are incoming. These will be based upon the EOB base profile as well. Amol Vyas can provide details about how the new profiles will be incorporated into IG.
Thanks again for the response. It is much appreciated. If the profiles are not ready, then wouldn't we need to use EOB base in order to provide data for dental and vision claims in time for 1/1 or would we need to use the professional profile in the meanwhile, in spite of the definition for that profile? Also, if EOB base was never intended to be a profile that stands alone, then do you know why the guide has an EOB base example? Thank you.
Josh Lamb (Sep 01 2020 at 11:31):
As of the last time I asked, about a week ago, the intent is to incorporate the dental and vision profiles as part of the STU1 version of the IG. The regulatory deadline is 1/1 but enforcement will not begin until 6/1. If you needed to produce a Dental or Vison EOB outside of what is defined within the CARIN IG then you would just omit the CARIN profile on EOB.Meta.Profile.
Courtney Bland (Sep 01 2020 at 18:54):
(deleted)
Courtney Bland (Sep 01 2020 at 19:11):
josh lamb said:
As of the last time I asked, about a week ago, the intent is to incorporate the dental and vision profiles as part of the STU1 version of the IG. The regulatory deadline is 1/1 but enforcement will not begin until 6/1. If you needed to produce a Dental or Vison EOB outside of what is defined within the CARIN IG then you would just omit the CARIN profile on EOB.Meta.Profile.
Thank you for your help.
Rakesh Mathew (Feb 26 2021 at 05:39):
@Amol Vyas Any update on Dental or Vision EOBs
Amol Vyas (Feb 26 2021 at 06:35):
Rakesh Mathew said:
Amol Vyas Any update on Dental or Vision EOBs
Rakesh,
The Dental (Oral) and Vision profiles and mappings are slated to be part of STU2. Currently we are working with the sponsoring HL7 Financial Management WG to determine the timeline for the same (May or September ballot). Regardless, we plan on covering the draft versions of the same during the upcoming CARIN Connectathon in April. @Mark Roberts @Corey Spears @Pat Taylor
Ruth berge (Jun 17 2021 at 16:23):
Any update to handle Dental claims as a Carin Profile? Shall we go ahead and treat them as professional? I see a new update to Carin June 16, 2021 but not seeing any dental. An update on the status of dental claims would be great.
Corey Spears (Jun 17 2021 at 16:46):
Are you part of the CARIN Alliance list serve. There was an announcement that this profile, which is part of STU2, will now be balloted during the January 2022 ballot cycle. It is still in development, but an advance copy of that work can be found here: https://build.fhir.org/ig/HL7/carin-bb/branches/STU2.0.0/
Last updated: Apr 12 2022 at 19:14 UTC
