Benefits Eligibility Verification System API - Implementation Template

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The MuleSoft Accelerator for Healthcare now enables call center agents and care staff to perform real-time benefits and eligibility verification. Providers can electronically verify a patient’s insurance coverage in real-time for medical treatment.

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Overview

This asset is a component of MuleSoft Accelerator for Healthcare.

MuleSoft Accelerator for Healthcare enables healthcare providers to unlock critical patient data to build a patient 360 within Salesforce Health Cloud, faster and easier than ever before. The solution includes pre-built APIs, connectors, integration templates, and a prescriptive end-to-end reference architecture to bring patient demographics information and COVID-19 test results from any EHR into Health Cloud using HL7 V2 or FHIR standards.

The solution also provides a library of United States Core Data for Interoperability (USCDI) and FHIR R4 resources to help healthcare developers adhere to interoperability needs and jumpstart the development of healthcare digital transformation initiatives.


The Financial module covers the resources and services provided by FHIR to support the costing, financial transactions and billing which occur within a healthcare provider as well as the eligibility, enrollment, authorizations, claims and payments which occur between healthcare providers and insurers and the reporting and notification between insurers and subscribers and patients.

This integration template implements the FHIR R4 Financial API specification Coverage resource.


Reviews

TypeTemplate
OrganizationMuleSoft
Published by
MuleSoft Solutions
Published onOct 12, 2023
Asset overview

Asset versions for 1.0.x

Asset versions
VersionActions
1.0.3
1.0.2
1.0.1
1.0.0