Customer Service & ReportingPurpose
1.2. Ensure compliant data transfer to expedite claims, verification, and support reporting requirements for audit trails.
1.3. Maintain transparency and real-time collaboration between healthcare provider (air ambulance) and insurers.
1.4. Limit manual data entry, reducing errors, and improving data availability for care continuity and billing.
Trigger Conditions
2.2. New record creation or update indicating insurance interaction required.
2.3. Receipt of signed patient consent for data sharing.
2.4. Predefined time schedules (e.g., every hour) or batch at end-of-day.
Platform Variants
• Feature/Setting: FHIR API webhooks for `Patient` and `Encounter` resource updates; endpoint configuration for outgoing events.
3.2. Cerner
• Feature/Setting: Cerner Open Developer Experience (CODE) API for outbound patient data streaming on encounter close event.
3.3. Salesforce Health Cloud
• Feature/Setting: Platform Event Triggers subscribing to case closure or custom object change; outbound message configuration to partner API.
3.4. Microsoft Dynamics 365
• Feature/Setting: Power Automate workflow on “Case Closed”; HTTP action for POST to insurance partner webhook.
3.5. Google Cloud Healthcare API
• Feature/Setting: HL7v2/FHIR export workflow with Cloud Functions HTTP trigger, forwarding XML or JSON bundles to target URL.
3.6. AWS HealthLake
• Feature/Setting: EventBridge rule triggers Lambda on new FHIR record, Lambda pushes to insurer’s endpoint.
3.7. Meditech Expanse
• Feature/Setting: RESTful service call on discharge, using Data Repository for automated record extraction and POST.
3.8. Allscripts
• Feature/Setting: Open API web services—"SendPatientData" operation with configured partner API endpoint.
3.9. Oracle Health
• Feature/Setting: Oracle API Platform—“on-record-ready” event triggers partner API call with JSON payload.
3.10. SendGrid
• Feature/Setting: Email API for secure transfer—attachment configured for PDF/CCD files to insurance address.
3.11. Twilio SendGrid Parse
• Feature/Setting: Inbound Parse API auto-extracts attached records, forwards via webhook to insurance system.
3.12. Box
• Feature/Setting: File upload trigger; Box Webhook for "file uploaded" event, with webhook forwarding to partner system.
3.13. Dropbox
• Feature/Setting: File request folder + API notification on new upload; direct file push to insurer’s SFTP via Dropbox API.
3.14. SFTP/FTPS Servers
• Feature/Setting: SFTP server “new upload” trigger, automatic file copying to insurance FTP based on completed uploads.
3.15. DocuSign
• Feature/Setting: Connect Event Notification—trigger export of signed record packets upon patient consent completion.
3.16. Zoho Creator
• Feature/Setting: Workflow automation—form submit triggers Deluge script to assemble record and call partner’s REST endpoint.
3.17. Slack
• Feature/Setting: Workflow builder on patient case closed; action posts direct JSON via custom Slack app webhook to insurance.
3.18. ServiceNow
• Feature/Setting: Business Rule on task completion—REST message to insurance platform with patient data object.
3.19. Jotform
• Feature/Setting: Submission webhook—form integration, dispatches submitted patient data to insurer API in real time.
3.20. Google Sheets
• Feature/Setting: Apps Script trigger on row addition; script posts sheet content to insurer’s REST endpoint.
Benefits
4.2. Reduces manual input, ensuring data integrity.
4.3. Enables compliance with healthcare data standards (e.g., HIPAA, FHIR).
4.4. Increases efficiency and traceability in a mission-critical emergency service workflow.
4.5. Scalable with multiple insurance partners and healthcare IT backends.