HL7 FHIR® Implementation Guide: Risk Based Contract Member Identification, Release 1 - US Realm

DESCRIPTION

The implementation guide defines the mechanisms, resources, profiles and extensions required to exchange Member Attribution Lists. The Member Attribution Lists enable providers and payer organization to validate enrollment in Value-Based Care (VBC) programs and support reporting requirements and payment reconciliation.

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Risk Based Contract Member Identification, Release 1 - US Realm may also go by the following names or acronyms:

BENEFITS

• Enables FHIR based exchange of Member Attribution Lists (MAL) between providers and payers.
• Replaces the fragile current methods of custom files (CSVs, txt etc) and exchanging them using different methods such as Email and Secure Eile Transfer Protocol (SFTP)

IMPLEMENTATIONS/CASE STUDIES

• MultiCare
• Providence
• Epic

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Risk Based Contract Member Identification, Release 1 - US Realm

STU DOCUMENTS

HL7 FHIR® Implementation Guide: Risk Based Contract Member Identification, Release 1 - US Realm See the standard at http://hl7.org/fhir/us/davinci-atr/STU1.

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TOPIC

• Financial Management

BALLOT TYPE

• STU

STATUS DATE

2021-02-10

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Implementation Guide

STAKEHOLDERS

• EHR, PHR Vendors
• Health Care IT Vendors
• Healthcare Institutions
• Payors

FAMILY

• FHIR

CURRENT STATE

• Active

REALM

• US Realm