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Revision Date May 6, 2019

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 provider
  • 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
  • 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.

Work Products and Contributions to HL7 Processes

FM collaborates with Patient Administration (PA) and Attachments 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 
  • Attachments
  • Structured Documents
  • Electronic Services
  • Vocabulary

Formal Relationships with Groups Outside of HL7

FM has no formal relationships with groups outside of HL7.