Da Vinci Payer Data Exchange
2.1.1 - STU 2.1 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

Example Parameters: Provider-Member-Match Request Example

Parameters

MembersToMatch
 MemberPatient

Patient/patient-prov-001

Robert Michael Johnson (official) Male, DoB: 1965-08-15 ( Member Number)


Contact Detail
  • ph: 555-123-4567
  • 123 Main Street Springfield IL 62701 (home)
 CoverageToMatch

Coverage/coverage-to-match-001

status: Draft

type: EHPLANS

subscriber: Patient/patient-prov-001

subscriberId: 12345678

beneficiary: Patient/patient-prov-001

relationship: Self

period: 2023-01-01 --> 2023-12-31

payor: Previous Health Plan (Identifier: NPI/9876543210)

class

type: Group

value: EMPLOY-12345

class

type: Plan

value: PPO-GOLD

 TreatmentAttestation

Consent/treatment-attestation-001

status: Active

scope: Treatment

category: Treatment, Release of information consent

patient: Patient/patient-prov-001

dateTime: 2024-12-10 14:30:00+0000

performer: Dr. Susan Smith, MD

organization: Springfield Medical Center

source: Provider Attestation Form

Policies

-AuthorityUri
*https://example.org/compliancehttps://example.org/provider-attestation-policy

provision

type: Opt In

period: 2024-01-15 --> (ongoing)

Actors

-RoleReference
*information recipientDr. Susan Smith

purpose: ActReason: TREATMENT (Treatment)

 CoverageToLink

Coverage/coverage-link-001

status: Draft

type: EHPLANS

subscriber: Patient/patient-prov-001

subscriberId: NEW-12345678

beneficiary: Patient/patient-prov-001

relationship: Self

period: 2024-01-01 --> 2024-12-31

payor: Current Payer (Identifier: NPI/5555555555)

class

type: Group

value: EMPLOY-NEW

class

type: Plan

value: PPO-PREMIUM

MembersToMatch
 MemberPatient

Patient/patient-prov-002

Sarah Elizabeth Williams (official) Female, DoB: 1978-03-22 ( Member Number)


Contact Detail
  • ph: 555-987-6543
  • 456 Oak Avenue Columbus OH 43085 (home)
 CoverageToMatch

Coverage/coverage-to-match-002

status: Draft

type: EHPLANS

subscriber: Patient/patient-prov-002

subscriberId: 87654321

beneficiary: Patient/patient-prov-002

relationship: Self

period: 2023-06-01 --> 2024-05-31

payor: Another Health Plan (Identifier: NPI/1111111111)

class

type: Group

value: EMPLOY-67890

class

type: Plan

value: HMO-BASIC

 TreatmentAttestation

Consent/treatment-attestation-002

status: Active

scope: Treatment

category: Treatment, Release of information consent

patient: Patient/patient-prov-002

dateTime: 2024-12-09 10:15:00+0000

performer: Dr. James Brown, MD

organization: Columbus Clinic

source: Provider Attestation Form

Policies

-Uri
*https://example.org/provider-attestation-policy

provision

type: Opt In

period: 2024-02-01 --> (ongoing)

Actors

-RoleReference
*information recipientDr. James Brown

purpose: ActReason: TREATMENT (Treatment)