HCX Tech+Domain Working Group - Biweekly meeting - 3-Nov-2022

[gopi-g-dev]

Agenda

1. Update on the formal announcement of v0.7
2. Update on the work related to IIB/IRDAI reporting use case using the Notification API and Fetch API
3. Discussion on Form 15C mapping to FHIR EOB profile
4. Update on the NRCeS participation and the ongoing discussion regarding HCX specs
5. Reminder/request to participate in the creation of proposals for v0.9 - Reimbursement and OPD use cases.
6. Working session to continue the discussion on the Claim use cases to create examples as part of documentation help for integrators.
7. Questions and Feedback.

[gopi-g-dev]

Meeting Notes:

1. Update on the formal announcement of v0.7

Announcement got delayed to next week due to some delays last week.

2. Update on the work related to IIB/IRDAI reporting use case using the Notification API and Fetch API

The work done on this use case and the design considerations are presented. FHI EOB Profile is being considered as the payload for this use case. The questions raised in the previous call are addressed in the discussion thread opened for this use case. #60 Please review and provide feedback.

The Fetch API proposal is in progress. It may be ready by the the next meeting and will be presented to the group then.

Also, the details of the Notification API can be found here. #40

3. Discussion on Form 15C mapping to FHIR EOB profile

As part of this mapping, there are a few questions raised. Some solutions are discussed and is going to continue to the next meeting. The discussion will be recorded in this thread #65

4. Update on the NRCeS participation and the ongoing discussion regarding HCX specs

We are working with NRCeS on a few decisions to be made in the protocol and some valuesets they offered to help with. The discussion is ongoing and NRCeS will play an increased role and help us in reviewing the specs and providing help with valuesets.

A discussion thread will be created for the ongoing conversation with NRCeS on the choice of bundling mechanism of HCX FHIR payloads.

5. Reminder/request to participate in the creation of proposals for v0.9 - Reimbursement and OPD use cases.

6. Working session to continue the discussion on the Claim use cases to create examples as part of documentation help for integrators.

Discussion continued on the PreAuthorization example, specifically on how to represent the provider when they have multiple locations. This discussion is being recorded in this document.

[abhimail]

As indicated in update 4 above, the discussion on the Bundle Types for profile is available here #67