Merged in bugfix/highmark-reimb-primary (pull request #823)
reimb primary prompt update * reimb primary prompt update * Merge branch 'main' into bugfix/highmark-reimb-primary * Update reimb primary prompt Approved-by: Katon Minhas
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Katon Minhas
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@@ -1133,6 +1133,7 @@ INVALID entries - return NO unless there is VALID language as well:
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- Authorization/coverage requirements only
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- Processing instructions, funding arrangements, and administrative statements without specific rates
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- Member cost responsibilities (including Medicare Member Cost Share)
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- Irrelevant information about parties, contract terms, or other non-reimbursement details e.g. 'transfer adjustments'.
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HARD INVALID entries - return NO even if there is VALID reimbursement language present as well:
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- Any reference to Coordination of Benefits or general benefit descriptions
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