on 4/29/2020 at 10:41 AM

Voting Results - IRR CLM908 Adjust Legacy Claims Processing Rules


From: Lori Raby

User Posts: 32 - New User

attached is a draft of the proposed changes to the Legacy Claims Processing rules from Section 4

79 people saw this online 80 people saw this by email
on 8/27/2020 at 3:00 PM

From: Gregg Lutz

User Posts: 330 - Intermediate User

Download Attachment IRR CLM908 Voting Results.pdf 68.07 kB 19 downloads

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.

on 8/6/2020 at 3:02 PM

From: Gregg Lutz

User Posts: 330 - Intermediate User

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.

on 7/16/2020 at 1:48 PM

From: Gregg Lutz

User Posts: 330 - Intermediate User

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.

on 7/6/2020 at 7:56 PM

From: Stephen A. Mason

User Posts: 4 - New User

Download Attachment Legacy Claims rules IRR908 workgroup proposal 20200706.docx 42.74 kB 24 downloads
Download Attachment R3-1 DN Lists by Name and Number IRR908 workgroup proprosal 20200706.xlsx 43.85 kB 15 downloads

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,

on 6/25/2020 at 1:15 PM

From: Stephen A. Mason

User Posts: 4 - New User

Download Attachment R3-1 DN Lists by Name and Number 20190914 proprosed 20200424 with Legend.xlsx 42.97 kB 5 downloads
Download Attachment Updated - 06242020 -Legacy Claims rules Proposed.docx 41.35 kB 3 downloads

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

on 6/10/2020 at 9:06 PM

From: Stephen A. Mason

User Posts: 4 - New User

Download Attachment Legacy Claims Workgroup 6-10-2020.docx 13.68 kB 1 downloads
Download Attachment R3-1 DN Lists by Name and Number 20190914 proprosed 20200424 with Legend.xlsx 42.66 kB 1 downloads

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

on 4/28/2020 at 3:03 PM

From: Gregg Lutz

User Posts: 330 - Intermediate User

Download Attachment IRR CLM908 - Adjust Legacy Claims Processing Rules.pdf 92.58 kB 4 downloads
Download Attachment IRR CLM908 - Proposed Resolution Details for 2-3 R3-1 DN Lists by Name and Number.xlsx 91.04 kB 2 downloads

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.