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Difference between revisions of "201609 Attachments"
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==Scenarios== | ==Scenarios== | ||
<!-- What will be the actions performed by participants? --> | <!-- What will be the actions performed by participants? --> | ||
| + | For all scenarios below, the following types of attachments are allowed: | ||
| + | * PDF attachment | ||
| + | * Unstructured C-CDA attachment | ||
| + | * Structured C-CDA attachment | ||
| + | * C-CDA on FHIR attachment | ||
===Prior Authorization=== | ===Prior Authorization=== | ||
| − | :Action: | + | :Action: Provider creates an attachment and sends it to the payer. |
| − | :Precondition: | + | :Precondition: Prior authorization has occurred, and the provider has an id (i.e. electronic staple) to associate the attachment with the claim. |
| − | :Success Criteria: | + | :Success Criteria: Payer receives the attachment and is able to view it. |
:Bonus point: <!-- Any additional complexity to make the scenario more challenging --> | :Bonus point: <!-- Any additional complexity to make the scenario more challenging --> | ||
Revision as of 16:55, 17 June 2016
Attachments
Submitting WG/Project/Implementer Group
Attachments Work Group (AWG)
Justification
Proposed Track Lead
See Connectathon_Track_Lead_Responsibilities
- Rick Geimer
- Co-leads, Paul Knapp, Durwin Day
Expected participants
- BCBS
- HCSC
- BCBSAL
- Anthem
- Optum
Roles
Please include information here regarding how much advance preparation will be required if creating a client and/or server.
Payer
Provider
Scenarios
For all scenarios below, the following types of attachments are allowed:
- PDF attachment
- Unstructured C-CDA attachment
- Structured C-CDA attachment
- C-CDA on FHIR attachment
Prior Authorization
- Action: Provider creates an attachment and sends it to the payer.
- Precondition: Prior authorization has occurred, and the provider has an id (i.e. electronic staple) to associate the attachment with the claim.
- Success Criteria: Payer receives the attachment and is able to view it.
- Bonus point:
Solicited
- Action:
- Precondition:
- Success Criteria:
- Bonus point:
Unsolicited
- Action:
- Precondition:
- Success Criteria:
- Bonus point:
