Product AB
Contents
- 1 Product Brief - HL7 V3: Accounting & Billing
- 1.1 Product Name
- 1.2 Topics
- 1.3 Standard Category
- 1.4 Integration Paradigm
- 1.5 Type
- 1.6 Releases
- 1.7 Summary
- 1.8 Description
- 1.9 Business Case (Intended Use, Customers)
- 1.10 Benefits
- 1.11 Implementations/ Case Studies (Actual Users)
- 1.12 Resources
- 1.13 Relationship to/ Dependencies on, other standards
- 1.14 Links to current projects in development
Product Brief - HL7 V3: Accounting & Billing
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Product Name
HL7 V3: Accounting & Billing
Topics
- Patient Billing Account
- Patient Billing Post
Standard Category
- Health Information Exchange Standards
Integration Paradigm
- Messaging
Type
Normative, ANSI Standard
Releases
ANSI/HL7 V3 AB: R1-2005, R2-2008
Summary
The Accounting and Billing (AB) domain covers the creation and management of patient billing accounts, primarily for the purpose of collecting charges and credits (financial transactions) to support the submission of a claim or invoice for reimbursement. This document provides support for the creation and management of patient billing accounts and the posting of financial transactions against patient billing accounts for the purpose of aggregating financial transactions that will be submitted as claims or invoices for reimbursement.
Description
This domain area addresses the posting of financial transactions against patient billing accounts. A Billing Account is an accumulator of financial and administrative information for the main purpose of supporting claims and reimbursement. Secondarily, the billing account may contribute significant information to cost accounting and financial decision support systems. A billing account is simply that entity that captures the elements reflecting the cost and price of services provided and supplies consumed for a healthcare activity. The focus for which an account accumulates information will vary. (For example: In a realm where billing is based on periodically collecting financial transactions for a patient, the accumulator might be the patient.) A billing account might also include links to insurance and benefit information, and relevant responsible parties.
Business Case (Intended Use, Customers)
- Provider: Healthcare Institutions (hospitals, long term care, home care, mental health)
- Vendor: Health Care IT
- Payers
- Local and State Departments of Health
Benefits
Implementations/ Case Studies (Actual Users)
Resources
Work Groups
Education
- See more at http://www.hl7.org/implement/training.cfm
Certification Available
- none
Presentations
Relationship to/ Dependencies on, other standards
Links to current projects in development
- Project Insight ID # 362, Account and Billing CMETs
