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Scenario 5: Payer-to-Payer Member Health History Exchange

When a Member moves to a new Health Plan they have the option to authorize the transfer of their Health History from the old Health Plan to their new plan.

The PDex IG provides for this exchange to be accomplished using alternatives to the FHIR REST API.

There are 4 steps to creating this exchange as a bulk data transfer:

  1. Receive Member authorization to transfer their health history to a new health plan
  2. Compile the information for a member into a FHIR bundle using the Patient-everything operation
  3. Format the bundle using the Bulk FHIR NDJson specification
  4. Pass the data to the new health plan. 

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