Documentation Templates and Rules Data Model
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Entities and relationships involved with Documentation Templates and Rules for Payers support payer organizations in efficiently and accurately sharing documentation requirements with providers by automating the delivery, completion, and return of FHIR-aligned questionnaires as part of the prior authorization process.
Code Set, Code Set Bundle, OmniProcess, Service Information Related Questionnaire, Service Information Request, Service Information Request Detail (AssertionId), Service Information Request Operation, Service Information Request Operation Outcome, Service Information Response, Service Information Response Action, Service Information Response Coverage, Service Information Response Coverage Detail, Service Information Response Override Option, Service Information Response Resource URL, Service Information Response Suggestion