Payment FHIR Resource Proposal

Payment

Owning work group name

Financial Management

Committee Approval Date:

PA Approval on 10/24/2018 Riki Merrick/Kathleen Connor:4-0-0

Contributing or Reviewing Work Groups

Patient Administration

FHIR Resource Development Project Insight ID

994

Scope of coverage

This resource provides the ability to accurately track the different payments toward balances and how they apply to the account. ChargeItems (can) result in an increase in the balance on an Account. We now need a method to pay down that balance (i.e. post payments). The existing PaymentNotice and PaymentReconciliation resource are specific to adjudicated cliam payments and do not encompass self pay payments.

Resource appropriateness

Tracking financial information is vital in Patient Accounting and Patient Administration systems in many Healthcare Organizations. This resource provides the ability to accurately track the different payments toward balances and how they apply to the account. ChargeItems (can) result in an increase in the balance on an Account. We now need a method to pay down that balance (i.e. post payments).

Expected implementations

- Any solution that tracks financial accounting, payment, and billing information - Patient apps that support self-pay payments - Patient apps that show how a current balance was calculated - Interested parties: GE, Cerner, payment processors, healthcare providers, healthcare systems.

Content sources

Existing normative V3 and V2 specifications

Example Scenarios

Patient online bill pay workflows.

Point of service payment and back office collections workflows.

When Resource Proposal Is Complete

When you have completed your proposal, please send an email to FMGcontact@HL7.org