HCX Protocol
v0.8
v0.8
  • Summary
  • Context
  • Introduction to HCX
  • Approach
    • Design Principles
    • Key Specifications
    • Governance
  • Technical Specifications
    • Open Protocol
      • Registries
      • Claims Data Exchange (HCX) Protocol
        • Exchange Protocol
        • Message Structure
        • API Structure
        • Error Handling
      • Data Security and Privacy
        • Transport Security
        • Message Security and Integrity
        • API Security
      • Audit and Reporting
      • Notifications
        • Terminology
        • Categories
        • API specifications
        • List of key topics
        • Future considerations
      • Third party Information sharing
    • Digital Network Policies
  • Domain Specifications
    • Domain Data Models
      • Handling Attachments
      • Handling Processing Errors
    • Terminologies (Code sets or Metadata standards)
    • Domain Specific Languages (DSLs)
    • Implementation Guide
  • Business Policy Specifications
    • Access Control (Roles)
    • Guidelines for Participant Onboarding
    • Guidelines for Grievance Redressal
      • Scope of disputes
      • Involved participants
      • Guideline process for dispute resolution
      • Guidelines for leveraging FTA
      • Next steps
    • Guidelines for SLAs and ecosystem satisfaction
    • Guidelines for Operating charges
    • Guidelines for Beneficiary Authentication by Providers/Payors
    • Guidelines for Event audits
    • Reference Templates
      • HCX - Terms of use
      • Payer-Provider addendum
      • Payer-Policyholder addendum
    • Next steps
  • Contributing to the specifications
  • Future Roadmap
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  1. Technical Specifications
  2. Open Protocol

Claims Data Exchange (HCX) Protocol

Building blocks of the Health Claims Data Exchange protocol

This section defines the following key building blocks of the data exchange protocol:

  1. Exchange protocol: Details of various exchange scenarios and steps involved - Terminology used, overall message flow and alternate message flows

  2. Message Structure: Components of the protocol messages and their details

  3. API structure: Details of the protocol APIs that facilitate the exchange

  4. Error handling: Types of protocol errors, list of error codes and their descriptions

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Last updated 2 years ago

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