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FHIRVAL

CONNECT PROVIDERS & PAYERS WITH FHIR
Enable FHIR Server & CMS Interoperability.
Patient Access Final Rule (CMS-9115-F)
& FHIR Release 4.0.1

WE HAVE ENABLED CMS INTEROPERABILITY FOR 5 HEALTHCARE PLANS

FEATURES

AUTHENTICATION

  • Oauth 2.0

  • Authenticate with LDAP or SSO

  • Authenticate with Member Portal

  • Authorize via HiPaaS

FULL API INTEGRATION

  • Read, Update, Insert API

  • Use Same data across

  • API driven 3rd Party Consent

SINGLE VIEW OF FHIR

  • Powerful dashboard gives audit tracing across files and API

  • Plugin any BI tool to write your own analytics

  • Real time visibility to data

  • Use the same FHIR Data for internal apps

  • Audit trail of every change

  • Same FHIR API for customer service

EDI & HL7 DATA MAPPING TEMPLATES

  • EDI Data converter to FHIR

  • HL7 to FHIR Mapping

  • Custom Data to FHIR Mapping

  • Database to FHIR Mapping

  • QNXT to FHIR Mapping

SAVE TIME

  • Save time on Loading data

  • Save time on data correction

  • Save time on reloads

  • Save time on searching transactions.

NOTIFICATIONS

  • Data correction notifications

  • File delay notification

  • Validation Error notification

LOAD 5 YEARS OF PATIENT DATA TO FHIR

GET OUT-OF-BOX SCALABLE HIPAAS MAPPERS!
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Based on United States Core Data for Interoperability (USCDI) FHIR specs, we support all resources required for patient access API. CARIN profiles, CMS Blue Button and Da Vinci Use cases.

Payers are required to make a patient’s claims and encounter data available via the Patient Access API.

HL7 FHIR® Da Vinci PDex IG: Version STU 1.0.0. URL: http://hl7.org/fhir/us/davinci-pdex/STU1

HL7 FHIR® US Core IG STU 3.1.0. The PDex IG is based on the US Core IG, with the following additions designed for payer-related use cases. 

FHIR RESORUCES

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PATIENT ACCESS API

  • C4BB Coverage

  • C4BB ExplanationOfBenefit Outpatient Institutional

  • Inpatient and Outpatient (Institutional)

  • C4BB ExplanationOfBenefits Pharmacy

  • C4BB ExplanationOfBenefit Professional NonClinician

  • C4BB Organization

  • C4BB Patient

  • C4BB Practitioner

  • AllergyIntolerance

  • Immunizations

  • Condition (Problem)

  • Procedure

  • FamilyMemberHistory

  • CarePlan

  • Goal

  • CareTeam

  • Clinical Impression AdverseEvent DetectedIssue RiskAssessment Diagnostics Report Others..

PROVIDER API

  • 274 to Da vinci Use Case Mapping

  • 274 to FHIR USCDI Resoruces Mapping

  • Enable Access via App or Website

  • Plan-Net Endpoint

  • Plan-Net HealthcareService

  • Plan-Net InsurancePlan

  • Plan-Net Location

  • Plan-Net Network

  • Plan-Net Organization

  • Plan-Net OrganizationAffiliation

  • Plan-Net Practitioner

  • Plan-Net PractitionerRole

PAYER TO PAYER API

  • Payer to payer protocol

  • Payer to Payer FHIR Profiles

  • Payer to Payer Connectivity

  • On Boarding

GET STARTED

Invest your time where it's needed. Set it up once and auto-scale

HIPAAS supports AWS Cloud, Azure or GCP or On-Prem for Enterprise customers. 

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