PA BridgeResources

FHIR & Da Vinci

CRD (Coverage Requirements Discovery)

Draft — pending verification

This reference entry has not yet been verified against its authoritative source (Original definitions; regulatory facts to be verified against CMS-0057-F (89 FR 8758) and X12/HL7 documentation). Do not rely on it for production configuration until this notice is removed.

In more depth

CRD is the front door of the CMS-recommended stack: it fires during ordering workflow, returns coverage requirements (PA needed? documentation rules? forms?), and can hand off to DTR for documentation gathering. Its value depends heavily on the payer's rules engine being accurate and current — a wrong "no auth required" answer is worse than no answer.