Payment FHIR Resource Proposal

FinancialTransaction

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 payment and adjustment transactions toward balances on an account.

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 and adjustments toward balances on 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: Cerner, payment processors, healthcare providers, healthcare systems.

Content sources

Existing normative V3 and V2 specifications

Example Scenarios

• Patient online bill pay payments
• Point of service payments for co-pays
• Back office collection payments over the phone or mail
• Lockbox payments

Resource Relationships

Reference to:

• Account
• Encounter
• ChargeItem
• Claim
• Patient|Group|RelatedPerson (subject)

Referenced by:

• Payment

When Resource Proposal Is Complete

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