Stream: Da+Vinci+PDex+Plan-Net
Topic: Dental Providers
Henry Perretta (Oct 13 2020 at 22:54):
Hello - simply adding an exchange I had with Saul earlier. Sorry I did not start the stream here in the first place (new to Zulip).
My question: I assume the PDEX Plan-It Provider Directory IG (in support of the CMS Interop Rule) will support the transmission of dental provider network info - would you agree?
Saul Kravitz3:07 PM Response:
On the face of it, it should work.
The specialty list includes dental specialties -- https://build.fhir.org/ig/HL7/davinci-pdex-plan-net/ValueSet-IndividualSpecialtyAndDegreeLicenseCertificateVS.html
The high level service categories include dentistry -- https://build.fhir.org/ig/HL7/davinci-pdex-plan-net/ValueSet-HealthcareServiceCategoryVS.html
What would cause it to fail as a dental provider network directory?
Henry Perretta (Oct 13 2020 at 22:56):
Responding to Saul's question at end of above: I actually don't know what would cause Plan-Net to fail in support of dental providers - looks goods to me!
Henry Perretta (Oct 22 2020 at 23:31):
Does anyone know - or have a perspective on - the following: The CMS Rule on the Director is vague on this point. Question: per the RULE - come 7/1/2021, do payers have to include dental providers via the directory API? (I know that Plan-Net will SUPPORT dental providers - I'm trying to see if the Rule itself requires it (or at least are we generally assuming the Rule requires dental providers in the Directory API). Does anyone have a feel for this? tks
Last updated: Apr 12 2022 at 19:14 UTC
