Section 1e: Version 3 (V3)
Section 2: Clinical and Administrative Domains

HL7 Version 3 Standard: Accounting & Billing

DESCRIPTION

The HL7 Version 3 Accounting and Billing (AB) Messaging Standard, retired 2022, supports the communication of acquired patient payor information and specific acquired charges for services to a patient/payer billing system. Examples of services facilitated by this standard include: the creation and management of patient billing accounts; and the posting of financial transactions against patient billing accounts for the purpose of aggregating financial transactions that will be submitted as claims or invoices for reimbursement.

ALTERNATIVE NAMES

HL7 Version 3 Standard: Accounting & Billing may also go by the following names or acronyms:

Reaffirmation of HL7 V3 Standard: Accounting and Billing R2, "V3: Account and Billing, R2", "V3: Account and Billing, R1", AB, A&B, FIAB

TARGETS

  • Healthcare Institutions (hospitals, long term care, home care, mental health)
  • Healthcare IT Vendors
  • Payers
  • Local and State Departments of Health

BENEFITS

  • Facilitates the adoption of electronic health records across the healthcare industry by automating the flow of patient information and invoice information into the accounting system for reconciliation and input into the billing system. 

DEVELOPMENT BACKGROUND

Accounting and Billing is one of several domain areas within healthcare services for which HL7, since its inception, has defined messaging standards. This standard addresses the posting of financial transactions against patient billing accounts. A billing account is an accumulator of financial and administrative information for the main purpose of supporting claims, payment and third-party reimbursement. Secondarily, the billing account will contribute significant information to cost accounting and financial decision support systems. A billing account is simply that entity that captures the elements reflecting the prices of services provided and supplies consumed for a healthcare activity. A billing account might also include links to insurance and benefit information, and relevant responsible parties.

RELATED DOCUMENTS

HL7 Version 3 Standard: Accounting & Billing

(Download) (178.96 MB)

ADDITIONAL DETAILS

 

HL7 V3 AB, R2-2008 (R2012) Retired 2022

TOPIC

  • Financial Management

BALLOT TYPE

  • Normative

STATUS DATE

2017-08-18

RESPONSIBLE WORK GROUP

Financial Management

STAKEHOLDERS

  • Healthcare Institutions
  • Local and State Departments of Health

FAMILY

  • V3

CURRENT STATE

  • Retired

REALM

  • Universal