Stream: implementers
Topic: Payment and payment allocation
Varvara (May 28 2018 at 12:31):
Hi,
has anyone ever had a need to represent Payment (for example, actual patient payment) in FHIR and a way to allocate it to ChargeItem/Invoice?
We are using FHIR to build a billing module for a network of clinics, and Payment was the missing part to balance ChargeItems and Invoices in order to close the billing workflow. We created our custom Payment entity and PaymentAllocate entity, which binds a payment or parts of the payment with the particular Invoices/ChargeItems.
We could propose Payment and PaymentAllocate resources if there is any requirement for them, and any relevant feedback/ use cases would be very helpful!
Paul Knapp (Jun 06 2018 at 12:31):
@Varvara Financial Management had a discussion on last weeks conference call regarding a Payment resource and we have some proposed elements. Please consider joining the call Wednesday at 2PM Eastern. We would expect the Payment to be applied to the Account. There remains concern as to how far HL7 wanders into the accounting space, but please join the FM calls to discuss your use cases.
Varvara (Jun 06 2018 at 14:05):
Thank you so much for your reply, @Paul Knapp , I'll be glad to join the upcoming call for discussion.
Darrell Woelk (Aug 06 2019 at 13:29):
I have a need for a Payment resource to document actual patient payment. Is there a draft FHIR resource that I can review?
David Pyke (Aug 06 2019 at 13:42):
YOu may want to look at http://build.fhir.org/paymentreconciliation.html
Paul Knapp (Aug 07 2019 at 16:50):
@Darrell Woelk This is something being worked in by Financial Management, please join a call Tuesdays 11AM eastern, https://join.freeconferencecall.com/fm4.
Varvara (Aug 10 2019 at 21:06):
@Paul Knapp oh, Payment is being reconsidered ? Will you be discussing this Tuesday?
Paul Knapp (Aug 23 2019 at 04:49):
@Varvara Yes we may touch on this coming Tuesday and will certainly discuss at the meeting in Atlanta.
Trip Pognant (Nov 01 2019 at 19:44):
Just curious if there was any guidance that came out of the call referenced above? We would like to represent patient payments against specific charge items.
Mark A Johnson (Nov 01 2019 at 19:56):
And an additional question about the fitness of PaymentReconciliation for this purpose: how should a paymentIssuer be represented that's not an Organization? This looks to be more appropriate for an insurance payment rather than a patient payment. cc @Paul Knapp
Trip Pognant (Nov 15 2019 at 19:47):
We are trying to represent contractual adjustments and withheld adjustments separately for reporting purposes. We are currently using the ClaimResponse.Item.Adjudication.Category to capture adjustments but wanted to get ideas on how to best represent various adjustment types. Thanks for any feedback!
Lloyd McKenzie (Nov 16 2019 at 12:46):
@Paul Knapp
Paul Knapp (Feb 19 2020 at 16:44):
FM is working on updating the Payments handling to include Patient payments. Calls are Tuesday at 4PM Eastern - see the HL7 Events calendar.
Last updated: Apr 12 2022 at 19:14 UTC
