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  • central reviewing mechanism/filter claims/ payment advice
  • payment 

3. Group Exercise - break OpenIMIS into multiple building blocks/ connections with the systems that you have 

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moral hazard with checking eligibility prior to the 

  • EMR
    1. what is the logic flow around submitting a claim
    1. identify patient (CR call)
      1. query for insurance number 
        1. need for a beneficiary registry 
  • IMIS
  • HIE
    1. client registry/terminology service/ MFR/ HWR
  • Process
    1. multiple questions that inform the eligibility verification 
      1. enrollment (can be in health facility) 
      1. when does eligibility occur
      1. check eligibillity- multiple eligibility check
        1. eligibility and verification check
        1. multi share mediation claims workflow
        1. rules engine for benefits/coverage 
      1. submit query for benefits package/ coverage request 
        1. using appropriate terminology standard codes
        1. either preloaded in the EMR or query a terminology service for this 
      1. asynchornous claims submission-submit claims
      1. prior authorization
      1. feed back loop for recoding and denial 
  • EMR 
    1. services provided
  • submission and subsequent response to the submission
  • FHIR/HL7 messaging submission standard 
    1. account, coverage, elibility request and response, enrollment , payment, explanation of benefit resource
    1. content standard- EDI X12 in the US  

Workflows identified:
    Level 1 (initial)

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