Stream: CARIN IG for Blue Button®
Topic: Payer Claim Unique Identifier
Bryan Briegel (Nov 12 2020 at 15:57):
Payer Claim Unique Identifier - this ID is generally consistent throughout the adjudication life cycle of a claim, though it could vary - do we know or expect this ID to remain stable in the EOB profiles throughout adjudication, until final claim status? Thx
Josh Lamb (Nov 12 2020 at 16:53):
The CARIN IG defines an adjudicated claims api. Claims that are in-process would fall outside of scope of IG if communicated.
Bryan Briegel (Nov 17 2020 at 22:30):
Understood on that. Better stated, we would not expect a change in the Claim ID, with subsequent adjudications of that claim. Denied, appealed, paid - if a claim was adjudicated several times, we would anticipate the ID to remain consistent with each adjudication, and wondering if that is a correct expectation. Thank you -
Last updated: Apr 12 2022 at 19:14 UTC
