FHIR Chat · Prior authorization · Da Vinci PDex

Stream: Da Vinci PDex

Topic: Prior authorization


view this post on Zulip Michele Mottini (Jan 10 2022 at 20:36):

The implementation guide at http://build.fhir.org/ig/HL7/davinci-epdx/artifacts.html#structures-resource-profiles lists (and links) two ExplanationOfBenefit profiles described as The PDex ExplanationOfBenefit (EOB) profile is provided to enable payers to express Prior Authorization information to members and The PDex Prior Authorization (PPA) profile is based on the ExplanationOfBenefit resource and is provided to enable payers to express Prior Authorization information to members

view this post on Zulip Michele Mottini (Jan 10 2022 at 20:37):

...shouldn't it be one profile?

view this post on Zulip Michele Mottini (Jan 10 2022 at 22:40):

Also, using ExplanationOfBenefit is going to cause problems, I created an issue about that https://jira.hl7.org/browse/FHIR-35653


Last updated: Apr 12 2022 at 19:14 UTC