 0 Table of Contents |
  1 Patient Cost Transparency Implementation Guide Home Page |
  2 Use Case and Actors |
  3 Good Faith Estimate (GFE) Coordination Overview |
  4 Good Faith Estimate (GFE) Submission and AEOB Overview |
  5 Technical Background and Underlying Technologies |
  6 Formal Specification |
  7 Good Faith Estimate (GFE) Coordination Specification |
  8 Good Faith Estimate (GFE) Submission and AEOB Specification |
  9 Terminology Licensure |
  10 Security |
  11 Downloads |
  12 Change Log |
  13 Artifacts Summary |
   13.1 Patient Cost Transparency Implementation Guide Coordination Platform Capability Statement |
   13.2 Patient Cost Transparency Implementation Guide Coordination Requester Capability Statement |
   13.3 Patient Cost Transparency Implementation Guide GFE Contributor Capability Statement |
   13.4 Patient Cost Transparency Implementation Guide Payer Capability Statement |
   13.5 Retrieve GFE Packet |
   13.6 Submit a GFE resource for the creation of an AEOB |
   13.7 aeob-date-of-service |
   13.8 TaskReplaces |
   13.9 TaskRequestedPeriod |
   13.10 PCT Coverage |
   13.11 PCT Organization |
   13.12 PCT Practitioner |
   13.13 PCT GFE Bundle |
   13.14 PCT GFE Composition |
   13.15 PCT GFE Contributor Task |
   13.16 PCT GFE Coordination Bundle |
   13.17 PCT GFE Coordination Task |
   13.18 PCT GFE DeviceRequest |
   13.19 PCT GFE Information Bundle |
   13.20 PCT GFE MedicationRequest |
   13.21 PCT GFE Missing Bundle |
   13.22 PCT GFE Packet |
   13.23 PCT GFE Packet Document Reference |
   13.24 PCT GFE ServiceRequest |
   13.25 PCT Good Faith Estimate Summary |
   13.26 PCT Good Faith Estimate Institutional |
   13.27 PCT Good Faith Estimate Professional |
   13.28 PCT Service Location |
   13.29 PCT Advanced EOB |
   13.30 PCT Advanced EOB Summary |
   13.31 PCT AEOB Adjudication Error |
   13.32 PCT AEOB Complete |
   13.33 PCT AEOB Composition |
   13.34 PCT AEOB Packet |
   13.35 PCT AEOB Packet Document Reference |
   13.36 PCT GFE Validation Error |
   13.37 Subscription - AEOB Available for Author Notification |
   13.38 Subscription - AEOB Available for Subject Notification |
   13.39 Subscription - GFE Available for Subject Notification |
   13.40 Subscription - GFE Coordination Task Update Notification |
   13.41 SubscriptionTopic - AEOB Available for Author Notification |
   13.42 SubscriptionTopic - AEOB Available for Subject Notification |
   13.43 SubscriptionTopic - GFE Available for Author Notification |
   13.44 SubscriptionTopic - GFE Available for Subject Notification |
   13.45 SubscriptionTopic - GFE Coordination Task Notification |
   13.46 Packet Estimate Request Initiation Time |
   13.47 Packet Linking Identifier |
   13.48 Packet Planned Period Of Service |
   13.49 Packet Procedure or Service |
   13.50 Packet Procedure or Service |
   13.51 Subscription - GFE Available for Author Notification |
   13.52 Benefit Remaining |
   13.53 CountrySubdivisionCode |
   13.54 GFE Reference |
   13.55 GFEBillingProviderLineItemCtrlNum |
   13.56 GFEConsentForBalanceBilling |
   13.57 GFEDisclaimer |
   13.58 GFERelatedTask |
   13.59 GFEServiceLinkingInfo |
   13.60 In Network Provider Options Link |
   13.61 PCTEndpoint |
   13.62 Planned Service Period |
   13.63 ProcessNote Class |
   13.64 ProviderEventMethodology |
   13.65 ProviderTaxonomy |
   13.66 ReferralNumber |
   13.67 Request Initiation Time |
   13.68 RequestOriginationType |
   13.69 Self-Pay Declared |
   13.70 Service Description |
   13.71 Significant condition involved |
   13.72 Significant Procedures and/or products involved |
   13.73 Subject To Medical Management |
   13.74 Claim Medical Product or Service Value Set |
   13.75 GFE Coordination Task Status Codes |
   13.76 ICD-10 Procedure Codes |
   13.77 NUBC Point Of Origin |
   13.78 NUBC Priority (Type) of Admission or Visit |
   13.79 PCT Adjudication Value Set |
   13.80 PCT Adjustment Reason |
   13.81 PCT AEOB Process Note Types |
   13.82 PCT benefitBalance.category codes |
   13.83 PCT Care Team Role Value Set |
   13.84 PCT CMS HCPCS and AMA CPT Procedure Surgical Codes |
   13.85 PCT Diagnosis Type Value Set |
   13.86 PCT Financial Type Value Set |
   13.87 PCT GFE CMS Place of Service Value Set |
   13.88 PCT GFE Contributor Task Status Reason Codes ValueSet |
   13.89 PCT GFE Frequency Code Value Set |
   13.90 PCT GFE Item Adjudication Value Set |
   13.91 PCT GFE Item CPT - HCPCS Value Set |
   13.92 PCT GFE Item NDC Value Set |
   13.93 PCT GFE NUBC Revenue Value Set |
   13.94 PCT GFE NUBC Uniform Billing (UB-04) Type of Bill Value Set |
   13.95 PCT GFE Request Coordination Task Status Reason Codes ValueSet |
   13.96 PCT GFE Request Task Business Status ValueSet |
   13.97 PCT GFE Request Type Codes ValueSet |
   13.98 PCT GFE Task Relationship |
   13.99 PCT ICD-10 Diagnostic Codes |
   13.100 PCT Organization Contact Purpose Value Set |
   13.101 PCT Organization Identifier Type Value Set |
   13.102 PCT Organization Type Value Set |
   13.103 PCT Payer Benefit Payment Status |
   13.104 PCT Payer Provider Network Status |
   13.105 PCT Procedure Type Value Set |
   13.106 PCT Subject-To-Medical-Management Reason Value Set |
   13.107 PCT Supporting Info Type Value Set |
   13.108 PCT Total Value Set |
   13.109 Provider GFE Contributor Task Status Codes |
   13.110 US Claim DRG Codes |
   13.111 US Claim DRG Codes |
   13.112 PCT Adjudication Category CodeSystem |
   13.113 PCT Adjudication Code System |
   13.114 PCT AEOB Process Note Code System |
   13.115 PCT Diagnosis Type |
   13.116 PCT Document Types |
   13.117 PCT Estimate Type Code System |
   13.118 PCT Financial Type Code System |
   13.119 PCT GFE Frequency Code System |
   13.120 PCT GFE Request Task Business Status Code System |
   13.121 PCT GFE Request Task Status Reason Code Code System |
   13.122 PCT GFE Request Type Codes Code System |
   13.123 PCT GFE Supporting Info Type Code System |
   13.124 PCT Identifier Type |
   13.125 PCT Network Status |
   13.126 PCT Organization Contact Purpose Type Code System |
   13.127 PCT Organization Identifier Type Code System |
   13.128 PCT Packet Section Codes |
   13.129 PCT Procedure Type |
   13.130 PCT Subject-To-Medical-Management Reason Code System |
   13.131 contract1001 |
   13.132 coverage1001 |
   13.133 endpoint001 |
   13.134 example-aeob-available-author-subscription-full |
   13.135 example-aeob-available-author-subscription-id-only |
   13.136 example-gfe-available-author-subscription-full |
   13.137 example-gfe-available-author-subscription-id-only |
   13.138 example-gfe-available-subject-subscription-full |
   13.139 example-gfe-task-subscription |
   13.140 example-gfe-task-subscription-partof |
   13.141 org1001 |
   13.142 org1002 |
   13.143 patient1001 |
   13.144 PCT-AEOB-1 |
   13.145 PCT-AEOB-Adjudication-Error-Example-1 |
   13.146 PCT-AEOB-Complete-Example-1 |
   13.147 PCT-AEOB-DocumentReference-1 |
   13.148 PCT-AEOB-Packet-1 |
   13.149 PCT-AEOB-Summary-1 |
   13.150 PCT-DeviceRequest-1 |
   13.151 PCT-GFE-Bundle-Inst-1 |
   13.152 PCT-GFE-Bundle-Prof-1 |
   13.153 PCT-GFE-Contributor-Task-1 |
   13.154 PCT-GFE-Contributor-Task-2 |
   13.155 PCT-GFE-Coordination-Bundle-1 |
   13.156 PCT-GFE-Coordination-Task-1 |
   13.157 PCT-GFE-DocumentReference-Inst-1 |
   13.158 PCT-GFE-DocumentReference-Prof-1 |
   13.159 PCT-GFE-Information-Bundle-1 |
   13.160 PCT-GFE-Institutional-1 |
   13.161 PCT-GFE-Institutional-MRI |
   13.162 PCT-GFE-Missing-Bundle-1 |
   13.163 PCT-GFE-Packet-Inst-1 |
   13.164 PCT-GFE-Packet-Prof-1 |
   13.165 PCT-GFE-Professional-MRI |
   13.166 PCT-GFE-Summary-1 |
   13.167 PCT-GFE-Summary-MRI |
   13.168 PCT-GFE-Validation-Error-Example-1 |
   13.169 PCT-MedicationRequest-1 |
   13.170 PCT-ServiceLocation-1 |
   13.171 PCT-ServiceRequest-1 |
   13.172 prac001 |
   13.173 prac002 |
   13.174 Submitter-Org-1 |
   13.175 Submitter-Practitioner-1 |