The ‘Intelligent’ 278: Creating a Standard for Shared Decision Support
Value-based care requires eliminating unnecessary healthcare costs while ensuring patients receive the right care at the right time. Yet in today’s transitional environment, providers and payers struggle with health IT infrastructures that are often incapable of supporting the high-velocity collaboration and communication critical to achieving these goals.
This white paper examines how existing technologies can be used to break the logjam surrounding prior authorization. By modifying the existing HIPAA Healthcare Service Review X12-278 transaction standard to share clinical data, a new hybrid communications tool can be deployed to standardize, streamline, and largely automate prior authorization throughout the industry.
Read the white paper to learn:
- The original design intent of the 278 standard
- Why the 278 is ideal for delivering clinical and financial information
- How provider systems could automatically direct payer utilization management systems to make informed authorization decisions