The Capability Statement describes the capabilities of this Server, which is responsible for providing responses when Pharmacy Claims are provided by a business partner and not incorporated into the Medical Claims feeds. The ExplanationOfBenefit (EOB) Resource is the focal Consumer-Directed Payer Data Exchange (CDPDE) Resource. Several Reference Resources are defined directly/indirectly from the...

This Payer Data Exchange (PDex) Capability Statement describes the clinical data available to registered Consumer applications that have received approval from a health plan member to receive their data. The Capability Statement embraces all of the US Core 3.1.1 profiles and adds additional profiles to support Health Plan needs.

The Capability Statement describes the capabilities of this Server, which is responsible for providing Medical Claims information. A separate Pharmacy Claims Capability Statement may be provided to access Pharmacy Claims when those claims are provided by a business partner and not incorporated into the Medical Claims feed. The ExplanationOfBenefit (EOB) Resource is the focal Consumer-Directed Pa...