This wiki has undergone a migration to Confluence found Here
Adminstrative Management Domain Analysis Model
Contents
- 1 Introduction
- 2 Collaborative Storyboard
- 3 FM Account & Billing Domain
- 4 FM Financial Coverage Domain
- 4.1 Eligibility Determination Topic
- 4.2 Healthcare Coverage Enrollment Topic
- 4.3 Eligibility Verification Topic
- 4.4 Policy or Program Contract Topic
- 4.5 Healthcare Explanation of Benefit Topic
- 4.6 Healthcare Certificate Of Creditable Coverage Topic
- 4.7 Continuation of Coverage Topic
- 4.8 Covered Parties Topic
- 4.9 Adverse Determination Appeal Topic
Introduction
The Administrative Management Domain Analysis Model is a joint project of the Financial Management, Patient Administration and Personnel Management Technical Committees. The links on this page are for artifacts being developed as part of this project.
Collaborative Storyboard
AMDO_ST000001 Total Hip Replacement
FM Account & Billing Domain
Patient Billing Account Topic
Close Patient Billing Account Create Patient Billing Account Delete Patient Billing Account Merge Patient Billing Account Update Patient Billing Account
Patient Billing Post Topic
Post Financial Transaction Notification
FM Financial Coverage Domain
Eligibility Determination Topic
Premium Assistance
Healthcare Coverage Enrollment Topic
Eligibility Verification Topic
Policy or Program Contract Topic
Healthcare Explanation of Benefit Topic
Healthcare Certificate Of Creditable Coverage Topic
Continuation of Coverage Topic
Covered Parties Topic
Adverse Determination Appeal Topic
- FM Claims & Reimbursement Domain
- Eligibility Topic
- Authorization Topic
- Coverage Extension Topic
- Pre-Determination Topic
- Invoice Topic
- Payment Advice Topic
- SOFA Topic
- Poll Topic
- FM Claims & Reimbursement Domain
- Patient Administration Domain
- Person Topic
- PatientLivingSubject Topic
- Patient Administration Domain
- Personnel Management Domain
- Human Resource Topic
- Regulatory Topic
- Provider Registry Topic
- Organization Registry Topic
- Personnel Management Domain
- Scheduling Domain
- Appointment Topic
- Scheduling Domain
