FHIR Chat · EOB Status Field · CARIN BB ExplanationOfBenefit

Stream: CARIN BB ExplanationOfBenefit

Topic: EOB Status Field


view this post on Zulip Courtney Bland (Aug 25 2020 at 19:21):

The CMS rule mentions including only adjudicated claims. If we aren't supposed to supply claims that are in progress because they have not entirely finished adjudication, then is anyone using the EOB statuses of draft, entered in error, ect. It seems like active and cancelled would be the only valid values. Am I off base? Thank you for your help

view this post on Zulip Courtney Bland (Aug 31 2020 at 17:02):

Courtney Bland said:

The CMS rule mentions including only adjudicated claims. If we aren't supposed to supply claims that are in progress because they have not entirely finished adjudication, then is anyone using the EOB statuses of draft, entered in error, ect. It seems like active and cancelled would be the only valid values. Am I off base? Thank you for your help

I have moved this question to a different stream. Thank you.


Last updated: Apr 12 2022 at 19:14 UTC