Digital health
FHIR for Payers: prior authorization and the payer APIs
The US payer rule in one view, the four required FHIR APIs, and the prior authorization journey step by step: coverage requirements, documentation, the request and response, decision times and metrics. Ten short films.
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What you'll cover
- 1The rule in one view3 min · Terminologies & Code SystemsLocked
- 2Patient Access and Provider Access4 min · Terminologies & Code SystemsLocked
- 3Payer-to-Payer and the Provider Directory3 min · Terminologies & Code SystemsLocked
- 4The prior authorization journey4 min · Terminologies & Code SystemsLocked
- 5CRD: coverage requirements at order time4 min · Terminologies & Code SystemsLocked
- 6DTR: collecting documentation4 min · Terminologies & Code SystemsLocked
- 7PAS: the request and the response4 min · Terminologies & Code SystemsLocked
- 8Decision times, denial reasons and metrics3 min · Terminologies & Code SystemsLocked
- 9X12 278 and FHIR together3 min · Terminologies & Code SystemsLocked
- 10Where to look: a finder3 min · Terminologies & Code SystemsLocked