Dr. Patricia Primary recommends a brain MRI for patient Eve Betterhalf to diagnose recurrent migraine headaches. Eve visits the submitting provider radiologist Dr. Christine Curie who composes an AEOB request for Eve to get a brain MRI from ABC Radiology. The payer (Medical USA, or MUSA) receives the request and sends Eve and Dr. Curie a URL with an AEOB ID to check on the progress of the AEOB. MUSA processes the AEOB and sends a notification via email that the AEOB is complete. Eve and Dr. Curie access the AEOB by authenticating with an OAuth service and download the AEOB.
Precondition: It is assumed that the payer endpoint is known to Dr. Curie, and that the payer has email addresses on file for Dr. Curie and Eve Betterhalf.
Success Criteria: Show a complete roundtrip from AEOB request submission to querying an AEOB.
Bonus points: Test various error conditions, including malformed FHIR, and missing data elements. Implement authentication via OAuth for Eve and Dr. Curie. Test business rule errors, such as inactive Coverage, etc.
Test Scripts: Aegis Touchstone PCT scripts and IG package for validation are up on Touchstone under FHIRSandbox/DaVinci
These scripts include the MRI scenario and also dynamic PCT scripts which allow a tester to paste a GFE bundle into the request to test any scenario they wish.
Contact Touchstone_Support@aegis.net for any questions.
Security and Privacy Considerations:
Bonus points for cross track testing with the FAST UDAP security track.
Security and Privacy Considerations: TBD