on May 18, 2022 at 12:09 PM

Withdrawn - CLM927 New Benefit Change Reason Code for Adjustment or Credit


From: Gregg Lutz

User Posts: 648 - Intermediate User

Download Attachment IRR CLM927 - New Benefit Change Reason Code for Adjustment or Credit.pdf 90.64 kB 22 downloads

Business Requirement / Issue: No Benefit Change Reason Code for Adjustment or Credit.

Requester's Proposed Resolution: Add a new Benefit Change Reason Code (DN0439) for Adjustment or Credit.

30 people saw this online 232 people saw this by email
on Sept 2, 2022 at 1:53 PM

From: Gregg Lutz

User Posts: 648 - Intermediate User

This request is no longer needed, requester plans to use DN0149 to derive the information.

on Aug 11, 2022 at 3:21 AM

From: Candace Gray

User Posts: 44 - New User

Download Attachment IRR 927 workgroup_20220808Meeting.docx 19.86 kB 4 downloads

Hi all,

The workgroup met briefly this past Monday to follow up with the submitter of this IRR regarding the specific scenario that prompted the request for a new value.  The group also heard from the current jurisdiction taking DN0439 (Benefit Change Reason Code) to see if they have encountered any issues expressed from customers with the values currently available.  Through these discussions it was determined the scenario in question had another means for being reported through the standard and would no longer require the additional value, therefore this IRR may be withdrawn by the submitter.  Additional details are captured in the attached notes.

Thanks again to all who participated in the workgroup!

Candace 


Candace Gray wrote:

Good afternoon,

The workgroup met for the first time this past Monday to discuss the current request related to adding a Benefit Change Reason Code (DN0439) specifically for noting an adjustment or credit.  The workgroup is seeking additional information from the submitter of the IRR to determine if there are some specific scenarios they're encountering that may help the workgroup through these discussions as well as working with a jurisdiction currently already taking these values to see how that information is coming in today when there is an adjustment or credit.  Notes are attached.  Our next workgroup meeting is to be held Monday, August 8th from 1pm-2pm EST. 

Thanks,

Candace

Gregg Lutz wrote:

Business Requirement / Issue: No Benefit Change Reason Code for Adjustment or Credit.

Requester's Proposed Resolution: Add a new Benefit Change Reason Code (DN0439) for Adjustment or Credit.





on Aug 3, 2022 at 7:15 PM

From: Candace Gray

User Posts: 44 - New User

Download Attachment IRR 927 workgroup_20220801Meeting.docx 17.34 kB 5 downloads

Good afternoon,

The workgroup met for the first time this past Monday to discuss the current request related to adding a Benefit Change Reason Code (DN0439) specifically for noting an adjustment or credit.  The workgroup is seeking additional information from the submitter of the IRR to determine if there are some specific scenarios they're encountering that may help the workgroup through these discussions as well as working with a jurisdiction currently already taking these values to see how that information is coming in today when there is an adjustment or credit.  Notes are attached.  Our next workgroup meeting is to be held Monday, August 8th from 1pm-2pm EST. 

Thanks,

Candace

Gregg Lutz wrote:

Business Requirement / Issue: No Benefit Change Reason Code for Adjustment or Credit.

Requester's Proposed Resolution: Add a new Benefit Change Reason Code (DN0439) for Adjustment or Credit.