This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
3-2 Exchange Interactions
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Section Guide:
- Implementation...
- - Actors
- - Exchange Interactions
- - Data Payloads
- - Interaction Methods
- - Interaction and Payload Matrix
- - Data Mapping
The PDex IG is specifying three exchange interactions:
- Providers and Health Plans (payers) exchanging information about the Member that a provider is caring for (P2HPX).
- Health Plans via a Member authorized exchange when a Member has moved from enrollment in one health plan to another health plan (MauthHPX).
- Health Plans and Third Party Applications that a Member has authorized to share the health information held by the health plan.
Two subsidiary Payer Data exchange Implementation Guides address the Member-authorized sharing of Health Plan information with Third Party Applications (Mauth3PX):
- Healthcare Network Directory.
- Pharmacy Network Directory.
- Prescription Drug Formulary.
These subsidiary IGs are:
- Payer Data exchange Plan Network Directory (PDex-plan-net) IG covering Healthcare and Pharmacy networks: http://hl7.org/fhir/us/davinci-pdex-plan-net/2019Jun/
- Payer Data exchange Drug formulary (PDex-formulart) IG covering prescription drug formulary: http://hl7.org/fhir/us/davinci-pdex-formulary/2019Jun/