on Oct 29, 2019 at 11:56 AM

Voting Results - IRR CLM897 Identification of a Change within 02 Change Rules


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From: Gregg Lutz

User Posts: 710 -

Download Attachment IRR CLM897 - Identification of a Change within 02 Change Rules.pdf 91.41 kB 1 downloads
Download Attachment IRR Section 4 02 Change Identifying Changes with comments_199195.pdf 151.39 kB 1 downloads

Business Requirement / Issue: The Claims Committee was notified of some challenges with the new 02 change process. A group has been meeting to discuss the challenges. The first priority was around how to properly edit the 02 when the change isn't the expected Change Reason Code and if Adds and Updates must be treated the same. Attached is the proposed Section 4, 02 Change Rules, Identifying Changes portion with changes.

Requester's Proposed Resolution: Enhanced guidelines when determining the validity of a change (See Final Proposed Resolution below for section 4 updates).

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on Dec 12, 2019 at 8:54 AM Picture for Gregg Lutz

From: Gregg Lutz

User Posts: 710 -

Download Attachment IRR CLM897 Voting Results.pdf 67.52 kB 1 downloads

Voting for IRR CLM897 completed on Wednesday, December 11, 2019. The proposed resolution was approved along with the implementation timeline.

A total of 22 responses were received consisting of 19 Yes Votes, 0 No Votes and 3 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.

on Nov 20, 2019 at 9:24 AM Picture for Gregg Lutz

From: Gregg Lutz

User Posts: 710 -

The voting period for this IRR has begun and will extend through 12/11/19. A ballot for this IRR was sent to the voting body via email on 11/20/19. 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.