HCX Protocol
v0.8
v0.6v0.7v0.8v0.7.1v0.9
v0.8
v0.6v0.7v0.8v0.7.1v0.9
  • 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. Business Policy Specifications

Reference Templates

Compilation of reference contractual templates to facilitate better network experience

As discussed in multiple sections under Business policy specifications, policy guidelines working group has created following key templates to aid upcoming HCX network(s) in facilitating easier onbaording of participants and improve overall network experience to all the participants:

  1. HCX - Terms of use: Template of HCX operators agreement with its participants

  2. Addendum to Payer-Provider contracts: Template addendum to aid payors and providers to make their contracts FTA friendly.

  3. Addendum to Payer-Policyholder contracts: Template addendum to aid payers in making their Policyholder contracts FTA friendly.

Following subsections detail each of these templates:

PreviousGuidelines for Event auditsNextHCX - Terms of use

Last updated 1 year ago

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