What's New in Payer Portal for FHIR

Enhancements:

• Improved support for the new URL for Reference ID.
• Improved logic to lookup Visit ID in the Encounter resource.

Fixes:

• The medication name is now displayed in the cards and list view.

Fixes:

• Environment configuration: The “Provider directory source” setting was not being used when you queried the FHIR Server.
• DataExport, FhirServer Overview and Simple Query failed when the FHIR Server default response encoding was in XML.
• The Practitioner name did not appear on the banner when the Practitioner resource contained only the basic information.

Enhancements:

• Added the ability to de-duplicate networks on the Practitioner and Organization pages.
• Made the Practitioner availability schedule viewable.
• Modified the Payer-to-Payer User Interface (moved the Plan drop-down away from the Member name).
• Improved the Practitioner Location rendering mechanism.
• Applied the preference mechanism to select the Reference ID from the Medication Request resource.
• Updated the code system URLs in EOB to comply with CARIN 1.1.0.
• Updated the code systems to comply with the latest ECL - 9.2.34.

Fixes:

• Minor user-interface improvements and enhancements on different pages.
• Bug fixes.

Enhancements

• Ability to configure, search, and access Subtenants (partitions defined on the FHIR server) in an Environment.

Enhancements:

• Drug Formulary: Added a new column Plan ID and renamed the existing column Plan to Plan Name.

Fixes:

• Only codes from preferred CodeSystem are displayed for language in Practitioner.
• CPT codes and CodeSystem are not resolved.
• The ‘Current Plan’ is displayed as the first entry in the Member Plans dropdown.
• Audit Logs: changed missingCodeSystemError to missingCodeError.
• Audit Logs: resource field is available in all outgoing FHIR Server calls.

Enhancements:

• Support for Payer-to-Payer Data Exchange. User can see Patient records from other Payers and easily switch between them.
• Ability to export Patient data directly from the Member screen.
• Enhance support for language code in Practitioner resources.
• Added titles/descriptions for input values in Data Export.

Fixes:

• Better handling of errors scenarios in case user is switching between Environments.
• Security related fixes in the Data Export functionality.
• Showing proper warning message in case not all the data is exported through Data Export.
• Small visual cleanup and enhancements in different screens.

Enhancements:

• Redesigned EOB screen to support additional data points like: Item/Service Line, Adjudication, Payment etc.
• Added EOB search by Claim number, Service Date, Provider Identifier & Provider Name.
• Introduced the feature for exporting the data from FHIR server in CSV and FHIR formats. The Out of Box defined templates are:
• Practitioner By Zip Code
• Practitioner By State
• Practitioner With Address
• Practitioner With Network
• Insurance Plan With Network
• Patient Bundle
• Enabled Support for 'valueCodeableConcept' data type for Lab observation values.

Fixes:

• Fixed the issue related to Vital Codes not being displayed.

Enhancements:

• Implemented Raw View for all the sections in Provider Directory screens.
• Enhanced Raw View for Drug Formulary to include List resource types.
• Support for pagination in Provider Affiliations/Networks.
• Use references from MedicationRequest to List for Drug Formulary. Previously references from List to MedicationRequest were used.
• Support for references to Organization in MedicationRequest.requester.
• Support for additional Identifier types in Provider Directory for Network Organizations: Tax ID, Business ID.
• Support for new CodeSystem (https://www.edifecs.com/fhir/CodeSystems/unique-medicationrequest-id) in MedicationRequest.ReferenceID.

Fixes:

• Proper handling of Vitals when code is present in both, component as well as main resource.
• Fixed the issue when page does not complete loading in case of a missing value in Condition resource.