Voting for IRR CLM908 completed on Wednesday, August 26, 2020. The proposed resolution was APPROVED along with the implementation timeline.

A total of 29 responses were received consisting of 27 Yes Votes, 0 No Votes and 2 Abstentions. Per the requirements of the IRR process, a two-thirds majority is required for an IRR to be considered approved. The outcome of this vote exceeded the two-thirds requirement with 100% in favor of the proposed resolution. A detailed report of the voting results for CLM908 is attached.

The voting period for this IRR has begun and will extend through 08/26/20. A new ballot for this IRR was sent to the voting body via email on 08/06/20. The voting body is comprised of current IAIABC jurisdictional and EDI members in good standing. Each eligible organization is allowed one vote per IRR. It is the responsibility of the designated voter (or the alternate, if the designated voter is not available) to discuss the issue up for vote with all stakeholders within their organization and vote accordingly.

The Final 14-Day Review period has begun for this IRR and will extend through 8/5/20. Please respond to this post with any additional feedback. Voting is scheduled to begin on 8/6/20.

Adding updated Documents to review.  This should be the final doc to be voted on, unless there are questions and more updates are needed.  The Workgroup concluded work on the 7/1/2020.

Thank you,

I am posting updated files with a completed spreadsheet, and a working document for processing rules

Meeting Notes and new attachments.  Added a legend to the spreadsheet.

Business Requirement / Issue: Legacy Claims Processing rules don't accurately portray availability of some data elements.

Requester's Proposed Resolution: Adjust Legacy Claims Processing rules to promote consistent usage by senders and receivers.