Da Vinci Payer Data Exchange (PDex)

1. Overview

   Payer clinical data sharing use cases.

2. Member match

   Identifying a member at a new payer with $member-match and Coverage.

3. Payer-to-payer exchange

   Exchange of claims, encounters and clinical data between payers.

4. Patient access and claims data

   Exposing claims data via CARIN BB and clinical via US Core.

5. Drug formulary and prior auth

   Prior authorization status as a pdex data element.

6. Artifacts index

   List of PDex profiles, extensions, value sets and operations.

Each section links to the official page. Titles and summaries by Extra Credit; the docs belong to their authors.