Registration & Identity
Establish a shared patient identity to support any patient-specific data exchange. Manage registration functions.
Web Services and Other Integrations
Other services to negotiate, establish, or verify patient identity include the following.
Eligibility Query
This bi-directional real-time query is used to verify eligibility with clearinghouses and payors. It uses ANSI X12 270/271 transactions.
Current integrations include...
- AccuReg
- Allscripts
- Anthem
- Arizona Department of Health Services
- Athena Health
- Availity
- Change Healthcare
- Cigna
- Experian Health
- HDX
- HealthCare Fiscal Management
- Healthcare IP
- Healthia
- Highmark
- Humana
- InstaMed
- Loxogon
- Medicaid
- Navicure
- NEBO
- NEHEN
- nThrive
- Ontario Ministry of Health
- Optum
- Pelitas
- Post-n-track
- Quadax
- RealMed
- Recondo
- Relay Health
- Rycan
- Search America
- Smart Data Solutions
- Surescripts
- The Advisory Board
- The SSI Group
- TransUnion
- TriZetto Provider Solutions, a Cognizant Company
- UnitedHealthcare
- VisionShare
- Waystar
- WebMD
- WNY HealtheNet
Outgoing Admission Notification
This bidirectional X12 278 interface is used to notify a payor or health plan that a patient has been admitted. The request can be done real-time or in batches.
Current integrations include...
- Aetna
- Availity
- Change Healthcare
- Cigna
- Experian Health
- Healthcare IP
- Horizon
- Medicaid
- Optum
- Pelitas
- Post-n-track
- Quartz
- Relay Health
- The Advisory Board
- UnitedHealthcare
Patient + Practitioner
explore the spec
This basic FHIR service covers data about persons (or, technically, animals, although despite all our jokes about cows, we aren't really pursuing) receiving care or other health-related services. It focuses on the demographic information necessary to support administrative, financial, or logistic purposes. We support search, read, and create interactions for Patient, and search and read interactions for Practitioner.