CARIN IG for Digital Insurance Card (PSS in Confluence)

Description

This project is intended to develop artifacts (FHIR implementation guides, code mappings, reference implementations, etc) to retrieve proof of insurance coverage information via FHIR when requested or shared by a Patient in order to create an electronic rendering of the insurance membership card within a digital application.

The information returned must meet the following requirements:

- Maintains parity with other FHIR resource that utilize similar data (Coverage, Patient, InsurancePlan, etc)

- Consistent with regulatory requirements for Patient Access, etc

- May be accessed in a synchronous workflow

- Meets practical business needs of providers/vendors that use this data in their workflows

The existing Coverage FHIR resource enables some of the insurance coverage information relevant to the member to be exchanged, but there are gaps which prevent the possibility of displaying a full digital rendering of the insurance card. The implementation guide for this project will include instructions, reference mappings, and sample implementations to enable insurers to express additional information such as Group ID, Network Name, Plan Logo, RxBIN, etc. The IG may incorporate elements from the WEDI Health ID IG where appropriate.

Misc Notes
2024 April: TSC approved STU Extension Request for HL7 FHIR Implementation Guide: CARIN Digital Insurance Card for 2 years 2024 February: TSC approved Unballoted STU Update Request for HL7 FHIR Implementation Guide: CARIN Digital Insurance Card 2022 June: TSC approved STU Publication Request for CARIN IG for Digital Insurance Card for two years 2022 April: C. Green: we have just completed ballot reconciliation and now updating IG. PMO updated next milestone date to 9/15/2022. Publishing later this year. Other Stakeholders: Patients, Providers, Insurance companies, App developers