HL7 FHIR® Implementation Guide: Postable Remittance, Edition 1 - US Realm

DESCRIPTION

The intent of this project is to create a Postable Remittance FHIR API to retrieve a copy of a previously issued remittance. Rather than going to a number of different payer portals or making multiple telephone calls, this API is intended to make it simpler for providers to retrieve a copy of the remittance. In scenarios where the remits are missing due to any reasons, providers/vendors can request a copy of an already issued 835 or paper remit via the API, and payers/clearinghouses will respond with an attachment which is the copy of the HIPAA compliant 835 or pdf of a paper remit that the payer/clearinghouse already issued to that requester.

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Postable Remittance, Edition 1 - US Realm may also go by the following names or acronyms:

BENEFITS

• Provides a way for providers and vendors to be able to retrieve a copy of the already issued remittance in its original format, i.e not a parsed-out 835, in an automated manner.

IMPLEMENTATIONS/CASE STUDIES

• athenahealth
• Palmetta GBA
• Optum

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Postable Remittance, Edition 1 - US Realm

STU DOCUMENTS

HL7 FHIR® Implementation Guide: Postable Remittance, Edition 1 - US Realm See the standard at http://hl7.org/fhir/us/davinci-pr/STU1.

(Submit Feedback on STU)

TOPIC

• Financial Management

BALLOT TYPE

• STU

STATUS DATE

2025-04-08

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Implementation Guide

STAKEHOLDERS

• Clinical and Public Health Laboratories
• Emergency Services Providers
• Healthcare Institutions
• Local and State Departments of Health
• Medical Imaging Service Providers
• Payors

FAMILY

• FHIR

CURRENT STATE

• Active

REALM

• US Realm