Change Request Detail
Type of Request
Payment of a Health Care Claim
DSMO Process Completed
Clearly and explicitly report the adjudicated patient name when it is different from the submitted patient name.
Add patient entity identifier code to allow patient corrected name, not just the insured corrected name.
Approve. The DSMO recommends that X12 will define the technical solution for inclusion in a future version. If X12 makes this a mandatory requirement, the DSMO requests that it be made situational with pharmacy being excluded.