Use Cases

Our use cases expand with community interest and leverage cutting-edge technology to serve the public good, enhance your workflows, and minimize effort.
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Treatment/Care Coordination

Enables access to critical information to support improved care coordination for patients by their providers during transitions of care

Providers

Federal Agency

Encounter Alerts

Enables event notification of clinical encounters (with robust clinical details) to state & regional HIEs to populate longitudinal patient records

Providers

Payers

Task Based Exchange

Enables clinical data exchange that focuses on how to get data out of EHRs and into the hands of other people who need it – like patients, providers and public health.

Providers

Individuals

Federal Agency

Public Health

Clinical Data Exchange (CDex)

Enables clinical data exchange between providers and payers for: attachments for claims, prior authorization, documentation, quality programs and risk adjustment

Providers

Payers

Prior Authorization

Streamlines and automates prior authorization decisions and provides real-time determinations

Providers

Payers

Payer Data Exchange (PDex)

Enable Payer-to-Payer and Payer-to-Provider exchange for claims and encounter data

Providers

Payers

Public Health Reporting

Enables providers to push discrete notifications (not full case reports), to public health agencies

Providers

Public Health

Electronic Case Reporting (eCR)

Enables providers’ EHRs to automatically notify public health agencies, via APHL, with rich clinical details, even when state and local reporting requirements vary

Providers

Public Health

Electronic Case Investigations

Provides the ability to query and retrieve additional information in response to a disease or condition that has already been reported under applicable law

Providers

Federal Agency

Public Health

Adverse Event Exchange

Enables providers to push adverse event notifications to public health entities, allowing them to query for additional information.

Providers

Federal Agency

Public Health

Electronic Lab Reporting (eLR)

Enables laboratories to automatically notify public health agencies with lab results (as required by applicable law)

*Seeking participant implementers

Providers

Public Health

Syndromic Surveillance Notifications

Allows for early detection and emerging health issues by monitoring non-specific indicators or patterns of symptoms that may indicate a public health threat.

*Seeking participant implementers

Federal Agency

Public Health

Prescription Drug Monitoring Program (PDMP)

Enabled exchange of PDMP with state repositories data via FHIR.

*Previously piloted, seeking participant implementers

Providers

Public Health

Immunization Notifications

Enables the push of immunization data for treatment purposes (not related to immunization registries)

*Seeking participant implementers

Providers

Public Health

Social Security Disability Benefits Determination

Automates the request and retrieval of records to support applicants’ claims for disability benefits, accelerating the determination process.

Providers

Individuals

Federal Agency

Individual Access to Health Information

Enables individuals to retrieve their clinical data under TEFCATM

Providers

Individuals

Life Insurance Applications

Automates the request and retrieval of clinical records for life insurance applications

Providers

Individuals

Image Share

Enables organizations to share images.

*Seeking participant implementers

Providers

Payers

Learn more about the technical specifications necessary to leverage each use case.