Personal Health Record Transfer Between Health Plans

Originally published in June of 2009, the Personal Health Record Transfer Between Health Plans Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:

• To transfer Personal Health Record (PHR) information between different health plans

The business flows supported by this implementation are the following:

• When an employer or coverage sponsor changes from one health plan to another, the new health plan may request the prior plan to transfer PHR information of those covered individuals
• When an individual changes jobs and elects coverage under a new health plan, they may request the transfer of PHR information for covered individuals. The prior health plan, with the individual's authorization, will transfer the PHR information to the new health plan.
• When an individual or subgroup of individuals changes from one health plan to another, the new health plan may request the prior health plan to transfer the PHR information of those covered individuals.

For this implementation of the ASC X12 275 transaction set, the paylod is an HL7 Continuity of Care Document (CCD®). The HL7 CCD guide was created for the U.S. payer stakeholder community and is used to ensure consistency in the implementation of U.S. realm PHR data transfer functions between health plans.

 Read More about the HL7 CCD Implementation Guide

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Original Guides