Reconciliation FHIR Resource Proposal
- 1 Reconciliation
- 1.1 Owning committee name
- 1.2 Contributing or Reviewing Work Groups
- 1.3 FHIR Resource Development Project Insight ID
- 1.4 Scope of coverage
- 1.5 RIM scope
- 1.6 Resource appropriateness
- 1.7 Expected implementations
- 1.8 Content sources
- 1.9 Example Scenarios
- 1.10 Resource Relationships
- 1.11 Timelines
- 1.12 gForge Users
Owning committee name
Contributing or Reviewing Work Groups
- Patient Administration
FHIR Resource Development Project Insight ID
Scope of coverage
The Reconciliation resource provides application level error information or the bulk payment details associated with a payment by the payor for goods and services rendered by a provider to patients covered by insurance plans offered by that payor. These are the payment reconciliation details which align to the individual payment amounts indicated on discrete ClaimResponses.
Payment (classClode=XACT, moodCode=EVN))
Bulk payments need to provide a means to associate the amounts paid again specific Claims to the bulk payment itself in order to reconcile provider accounts receivable.
This is a key resource expected by most Healthcare billing implementations where Health care products and services are provided.
Existing normative V3 and V2 specifications, Canadian Specifications, X12, NCPDP
Refers to a ReconciliationRequest.
Ready for DSTU 2