Use Case
Payer Data Exchange (PDex)
Enable Payer-to-Payer and Payer-to-Provider exchange for claims and encounter data
Easily transition data from one payer to the next
When employers or consumers change health plans, PDex allows for the exchange of information from the previous payer to the new payer to improve the continuity of care and promote data reusability.
The challenge
Providers have to gather and provide the patient’s historical data to the new payer, creating a multitude of manual back-and-forth information requests via
- Web portals
- Fax
- Phone calls
- Snail mail
Creating inefficient processes that create strain on administrative staff
The solution
Implementation of HL7 Da Vinci PDex automates payer data exchange between payers and between payers and providers using FHIR standards.
eHealth Exchange further simplifies the process by allowing payers to connect with multiple payers and providers to receive data from multiple payers using our single trust agreement, like our DURSA.
Comply with CMS requirements
The Centers for Medicare & Medicaid Services (CMS) has selected Health Level 7® (HL7®) Fast Healthcare Interoperability Resources® (FHIR®) as the payer API in CMS-9115 final rule. CMS recommends the Da Vinci Project’s Payer Data Exchange (PDex) Implementation Guide to satisfy this requirement.
Let us show you how it works
Payer exchange with a single connection
eHealth Exchange provides a single nationwide legal agreement with one technical connection so payers can simplify their information exchange process between each other with FHIR.
Data Portability
Streamline and automate prior authorization decisions and provide real-time determinations.
Reduce Administrative Burden
Streamlines the process of transferring medical data, minimizing the need for manual requests and paperwork.
Close Care Gaps
Providing a complete picture of a patient’s health history allows for more informed decisions and continuity of care.
FHIR Standard
Utilizes the HL7 FHIR standard for data exchange, ensuring compatibility across different payer platforms and healthcare systems.
Regulatory Compliance
Supports compliance with healthcare data exchange regulations.
Technical Specifications
Da Vinci Payer Data Exchange (PDex)
SMART App Launch
US Core Implementation Guide
Da Vinci Health Record Exchange (HRex)
Now is the time to abandon manual and disjointed workflows.
Expand your access and connectivity to the U.S. healthcare system with eHealth Exchange
