Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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 Profile: HRex Member Match Coverage Profile 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 Profile: Provider Attestation to Treatment Relationship 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
- | Authority | Uri
* | https://example.org/compliance | https://example.org/provider-attestation-policy
> provision type: Opt In period: 2024-01-15 --> (ongoing) ### Actors
> - | Role | Reference
> * | information recipient | Dr. Susan Smith
purpose: ActReason: TREATMENT (Treatment)
CoverageToLink | Coverage/coverage-link-001 Profile: HRex Member Match Coverage Profile 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 Profile: HRex Member Match Coverage Profile 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 Profile: Provider Attestation to Treatment Relationship 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
> - | Role | Reference
> * | information recipient | Dr. James Brown
purpose: ActReason: TREATMENT (Treatment)