Days to Deploy
HealFHIR – A managed FHIR infrastructure platform from Sagitec Solutions can help payers to be compliant with the mandate by enabling payers with an infrastructure for provisioning and operationalizing the mandate needs with its following platform capabilities:
Payers will now be able to use their provider and pharmacy network file extracts and leverage HealFHIR converter and loader tools to make them quickly available as FHIR resources to members and consumer apps.
Payers can share adjudicated claim, encounters with capitated provider, and clinical data with patients via FHIR based standard API by leveraging prebuilt HealFHIR claims mapping template and IG conformance validation tools.
See What Payers Should Know Before Beginning the Data Mapping Process
Sagitec's HealFHIR has prebuilt mapping templates for provider and pharmacy network, claims status, encounter history, and clinical data. This accelerates the mapping exercise to FHIR resources and quickly identify IG conformance gaps. The platform maintains data lineage as the data moves through mapping, validation, and loading phases of the transformation process.
Sagitec's HealFHIR platform comes with the provisioning portal for setting up and managing access to FHIR infrastructure for payers, consumers, and enterprises. This enables payers to define and enforce usage policies for consumers and enterprises while accessing the FHIR infrastructure.
HealFHIR platform takes in a member feed from a payer requesting the health history from the member’s former payer. The solution leverages the payer directory and data aggregation capabilities to fulfill the needs of this data exchange. It aggregates member’s health history data from various payers and provides the requesting payer with an aggregated FHIR bundle. This is a discreate service and does not persist any member data. The managed service will constantly work on provisioning additional payers in its payer directory.
Payers should clearly understand each approach's benefits and drawbacks to help them decide which solution is best for them.
A trial HealFHIR environment is available for payers to quickly upload their provider and pharmacy directory and make them available via FHIR API. The trial environment uses predefined Excel templates to transform and load data into the secured FHIR infrastructure. The HealFHIR dashboard will provide a summarized view of available datasets within the payers' dedicated FHIR infrastructure.
For more information, or to request access to a trial demo, please contact:
Sr. Partner, Sagitec Health & Lifesciences
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