Sharp FHIR Integration

Our advanced FHIR Integration, powered by SharpCD, seamlessly connects the pieces of the eligibility puzzle, delivering a complete solution for your practice. Using FHIR API’s, we retrieve upcoming appointments from your EHR and validate patient coverage in real-time. Once validated, we can push the insurance information back into your system.

Our comprehensive portal provides valuable dashboards and reports, giving you quick and easy access to important patient information. 

Integration Flow Process

Integration Explained

  • At night we pull upcoming appointments from your system.
    • This is configurable, and you can set how far in advance you’d like appointments pulled.
  • Once we have the appointments we look through them and based on your configuration we bring the appointment into our system
  • Once in our system we pull more information about the appointment
    • Patient
    • Coverage
      • current coverages the patient has, could be “self pay”
    • Provider associated with the appointment
      • Configure the type of provider to pull if required
  • Once we have all the data that we can get about this patient, we go to the Sharp Eligibility & Coverage discovery tool, this is the magic!
    • Our tool goes out and discovers what insurance is attached to the patient.
    • Sharp Eligibility & Coverage Discovery then returns the coverage information to the integration module.
  • Now that we have coverage information for a patient the system can update your EMR of this new information
    • The system will check if the payer is listed in your system by looking for the payer ID. If the payer is missing we can add the payer for you. If the payer is already there, we just attach the record of that payer to the new coverage.

Configuration and Portal View

The portal will give you insight and control into the integration process.

Configurability
Appointments
  • Set Max Days to Import
  • Set Locations to Pull From
  • Set the locations from your system from which to pull
  • Add locations for appointment pulling
  • Pause location from having appointments pulled
Patients
  • Set how often to check for coverage. If this patient was seen last week, we may not want to check again.
  • If coverage is active in the EMR, lets do an eligibility check instead
  • BlockList, set up certain patients that should never be checked.
Provider
  • A provider NPI maybe required. The appointment could have several providers to choose from. Set the type of provider to choose with this custom configuration
EMR Import
  • Set if payers can be created in the EMR
  • Map Payer EMR ID to payer ID (if payer id isn't in EMR)
  • Turn on or off coverage import
Portal
  • Screens to search by Appointment or by Patient
  • Quickly see from a glance where the patient is at in the process
  • Find patients that had no coverage returned or other manual issues with it.
  • View associated reports
  • Manually push the coverage back to EMR
  • Re-run discovery for a patient
  • Manually pull appointments from your EMR
  • View Detailed Coverage Information

Contact Us Today to integrate with your systems!

If your system has FHIR capabilities, this module is for you!
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