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
Powered by GitBook
On this page

Was this helpful?

Edit on GitHub
  1. Business Policy Specifications

Next steps

Thoughts on further work on the HCX network policy guidelines

An HCX network would be an important infrastructure service for the healthcare industry. Its continued, predictable operation and evolution with the needs of the ecosystem would be essential for the smooth functioning of the participating health care system. Inability to do so can cause damage to the participating systems and the public they serve.

Therefore, guiding policies for the network continues to be a focus area for the HCX Policy Guidelines working group, and more robust guidelines are expected in upcoming versions of the protocol.

PreviousPayer-Policyholder addendumNextContributing to the specifications

Last updated 2 years ago

Was this helpful?