Stream: Da Vinci
Topic: Transformation layer in Prior Authorization IG
Sreekanth Puram (Aug 06 2019 at 20:02):
In the prior authorization use case, we see a transformation layer in between provider and payer which transforms FHIR messages into X12 278/275. From the discussions and from the implementation guide it appears that this layer should be at a covered intermediary(or multiple intermediaries). So is it mandatory that every payer needs to have an intermediary? Or can the intermediary sit with in the payer's network which can accept FHIR resources and transform them into an X12 278 and 275 requests and send them to the payer's edi end point which accepts x12?
Lloyd McKenzie (Aug 06 2019 at 20:14):
It's totally fine if the 'intermediary' function is part of the payer's processing.
Sreekanth Puram (Aug 07 2019 at 02:41):
It's totally fine if the 'intermediary' function is part of the payer's processing.
Thank you
Last updated: Apr 12 2022 at 19:14 UTC
