Financial

Exchange information about money that's due and money that's paid.

Referrals

Referrals interfaces are used to communicate information about referrals that can be used for insurance operations. Clinical data is communicated via our clinical interfaces.

In outgoing interfaces, the referral information is being sent to an external system.

Incoming Referral Notification read the spec

Receives patient referral information from an external system. The interface can create, update, and cancel referrals in Epic.

Current integrations include

Change Healthcare
Crimson
Fibroblast
Hyland Software

Outgoing Referrals Notification read the spec

Transmits patient referral information to an external system, such as when a primary care provider refers a patient to a specialist. This is an HL7v2 interface. Most often, referrals are sent with the X12 278 interfaces.

Current integrations include

CipherHealth
Fibroblast
Hyland Software
Impulse Info Systems
Irisoft
McKesson
MedTek
Salesforce
The Advisory Board
Well Care

Outgoing Additional Information to Support a Health Care Services Authorization Query read the spec

Used in conjunction with an Outgoing Referral Request for Review - 278R, provides supporting clinical documentation for the request. Follows ANSI X12 specification 005010X211, ANSI X12 275 for Authorization, Additional Information to Support a Health Care Services Review (275)

Outgoing Referral Request for Review - 278R read the spec

Transmits patient referral or authorization information to a third-party system. The referral/authorization information is sent in order to obtain authorization for health care services (such as specialty referrals and procedures) with clearing houses and payers. It uses ANSI X12 278 transactions.

Current integrations include

Aetna
Allscripts
Anthem
athenahealth
Availity
Change Healthcare
Conduent
Emblem
Evicore
Experian Health
EZ-CAP
GE
Humana
Morrisey
Olive
Optum
PriorAuthNow
Quartz
Recondo
Relay Health
United Healthcare
Waystar