| RTPBC Request Profile (Claim) |
This profile constrains the Claim resource so that it can serve as the *RTPBC Request* in the consumer real-time pharmacy benefit check process. |
| RTPBC Response Profile (ClaimResponse) |
This profile constrains the ClaimResponse resource to serve as the RTPBC Response in the consumer real-time pharmacy benefit check process. It uses the ClaimResponse's "predetermination" processing mode |
| RTPBC Patient Profile |
This profile constrains the Patient resource for carrying the limited patient information required in the consumer real-time pharmacy benefit check (RTPBC) process. In RTPBC, the sole purpose of patient information is to enable the responding payer/PBM to locate the patient's insurance information. From there, pricing and coverage information is determined based on the patient's member and coverage information maintained by the payer. |
| RTPBC Medication Request Profile |
This profile constrains the MedicationRequest resource to convey a subset of prescription information required in the consumer real-time pharmacy benefit check (RTPBC) process. The content specifies the prescribed product and quantity, and references the prescribing practitioner and the patients' preferred pharmacy |
| RTPBC Practitioner Profile |
This profile constrains the Practitioner resource to convey identifying prescriber information required in the consumer real-time pharmacy benefit check (RTPBC) process. |
| RTPBC Pharmacy Profile (Organization) |
This profile represents a pharmacy as used in the real-time pharmacy benefit check (RTPBC) process. |
| RTPBC Coverage Profile |
This profile constrains the Coverage resource for conveying the patient's pharmacy benefit information in an RTPBC request to an insurer. |
| RTPBC Request Message Header Profile |
This profile constrains a MessageHeader resource for use in a Real-time Pharmacy Benefit Check (RTPBC) request bundle. |
| RTPBC Response Message Header Profile |
This profile constrains a MessageHeader resource for use in a Real-time Pharmacy Benefit Check (RTPBC) response bundle. |
| RTPBC Request Bundle Profile |
This profile constrains a Bundle resource for use as the request in a Real-time Pharmacy Benefit Check (RTPBC) process. |
| RTPBC Response Bundle Profile |
This profile constrains a Bundle resource for use as the response in a Real-time Pharmacy Benefit Check (RTPBC) process. |
