The Financial Management Group Meets every Tuesday at 11am ET.
Join using https://us02web.zoom.us/j/82031005986 / 098894
Reviewed: 2023-02-07
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.
This WG earned a WG Healthiest Star rating in each of the three trimesters measured in 2017, 2018, 2019, 2020, 2021 and 2022.
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.
Artifacts may include concepts such as:
- Administration support
- Contracting
- Self-pay
- Billing
- Claims
- Explanation of Benefits
- Payment
- Reporting
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
- Vocabulary
Formal Relationships with Groups Outside of HL7
None.
The HL7 FM Work Group collaborates with other organizations under the existing HL7 SOUs:
- ADA
- AHA
- AMA
- CAQH
- NCPDP
- WEDI
The committee will coordinate informally with members of other SDOs, such as X12, in the absence of a formal relationship.
Leadership
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American Medical Association Phone: USA +1 312-464-2418 celine.lefebvre@ama-assn.org Term ends December 31, 2023 |
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Term ends December 31, 2024 |
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