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The Financial Management Group Meets every Tuesday at 11am ET.

Join using https://us02web.zoom.us/j/82031005986 / 098894

The Uniform Elements for Prior Authorization Workgroup has moved!!!

Their new pages can be found here in FM. 

New Member Page

New Members - Financial Management - Confluence (hl7.org)

Team Materials

Uniform Elements for Prior Authorization Team Materials - Financial Management - Confluence (hl7.org)


Mission

The mission of the Financial Management Work Group (FM) is to provide HL7 artifacts to support:

  • The costing, financial transactions and billing which occur within a healthcare practitioner/provider organization
  • The eligibility, enrollment, authorizations, claims and payments, and contractual arrangements, which occur between and among healthcare providers, insurers, and patients
  • Reporting and notification between insurers, payers, subscribers, beneficiaries, and guarantors.

Artifacts may include concepts such as:

  • Administration support
  • Contracting
  • Self-pay
  • Billing
  • Claims
  • Explanation of Benefits
  • Payment
  • Reporting

Charter

FM will produce normative standards for financial event messages and content models.  Will work closely with appropriate Work Groups to coordinate and consolidate references to financial instruments in all HL7 artifacts. FM will monitor complementary financial and administrative information interchange standards other than HL7, and attempt to harmonize message content and vocabularies where possible.

2017 Work Group Health All-Star AwardThis WG earned a WG Healthiest Star rating in each of the three trimesters measured in 2017 and 2018.

Work Products and Contributions to HL7 Processes

FM collaborates with Patient Administration (PA) and Payer/Provider Information Exchange (PIE) for cross-domain initiatives.

FM will develop specifications using the appropriate product family methodologies.

Formal Relationships With Other HL7 Groups

Formal relationships with other Work Groups include:

  • PA 
  • PIE
  • Structured Documents
  • Publishing, Electronic Services, and Tooling (PEST)
  • Vocabulary

Formal Relationships with Groups Outside of HL7

The HL7 FM Work Group collaborates with other organizations under the existing HL7 SOUs.

Leadership

 Kathleen Connor
U.S. Department of Veterans Affairs
Phone: USA +1 727-519-4607
kathleen_connor@comcast.net
Term ends December 31, 2023

 Paul Knapp
Knapp Consulting Inc.
Phone: CAN +1 604-987-3313
pknapp@pknapp.com
Term ends December 31, 2022

Mary Kay McDaniel
Markam
Phone: USA +1 602-300-4246
MaryKay.McDaniel@outlook.com
Term ends December 31, 2023

 Andrew Stechishin
CANA Software & Services Ltd.
Phone: CAN +1 780-903-0885
andy.stechishin@gmail.com
Term ends December 31, 2023

  Jeff Brown 
MITRE Corporation
jeffbrown@mitre.org
Term ends December 31, 2022

 Benoit Schoeffler
almerys
Phone: FRA +33 473982044
benoit.schoeffler@almerys.com
Term ends December 31, 2022

Celine Lefebvre 
American Medical Association
Phone: USA +1 312-464-2418
celine.lefebvre@ama-assn.org
Term ends December 31, 2023


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2 Comments

  1. If we wanted to create a collaborative page to discuss a proposal for an extension, could we make it a child of this page?  Under documentation?  Any guidance would be helpful

  2. Kathleen Connor Mary Kay McDaniel Jeff Brown Celine Lefebvre Paul Knapp Benoit Schoeffler Dear co-chairs, I'd like to endorse an unresolved Jira issue:  FHIR-22812 - Getting issue details... STATUS  I reckon this has been raised by Priya Mathew in Jul 2019 but have since not been resolved. I've added comments with links to detailed description of my use case and context around it. I'd really appreciate if you could prioritise it as I really need this happening for a large scale national deployment in Singapore. Basically I'm asking to extend the scope of EnrollmentRequest/Response to be able to cater for enrolling patients to a wider range of projects/programs such as wellness / disease management / patient generated health data collection programs (e.g. PROMs/PREMs) or research studies / trials.