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 Plan-Net Server which provides responses to queries submitted by Consumer Applications. The complete list of FHIR profiles, RESTful operations, and search parameters supported by the Server are defined. This capability statement should meet the CMS Interoperability and Patient Access Final Rule requirement for provider directory access. ...

This Section describes the expected capabilities of the US Drug Formulary Server actor which is responsible for providing responses to the queries submitted by the US Drug Formulary Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Drug Formulary Server are defined.

This Section describes the expected capabilities of the C4BB Server actor which is responsible for providing responses to the queries submitted by the C4BB Requestors. The EOB Resource is the focal Consumer-Directed Payer Data Exchange (CDPDE) Resource. Several Reference Resources are defined directly/indirectly from the EOB: Coverage, Patient, Organization (Payer ID), Practioner, and Organizati...