Hyperledger Project
Healthcare Working Group (HCWG) Payer Subgroup Meeting
July 31, 2018
Resources:
Chat: https://chat.hyperledger.org/channel/healthcare-wg (you can use your LFID to login)
Github: https://github.com/hyperledger
Wiki: https://wiki.hyperledger.org
HCWG Wiki: https://wiki.hyperledger.org/groups/healthcare/healthcare-wg
Public lists: https://lists.hyperledger.org
Meetings: https://wiki.hyperledger.org/community/calendar-public-meetings
Linux Foundation Antitrust reminder: https://www.linuxfoundation.org/antitrust-policy
Reminders
Please make sure you review Linux Foundation’s Anti-Trust Policy - Linux Foundation's Anti-trust requirements.
Please include #payer-subgroup tag in your emails to the mailing lists for communication
Next Meeting - Tuesday August 13, 2018 at 3:00 PM EST – Payer Subgroup Meeting and will be chaired by Steven since I cannot make it.
What was discussed in last two meetings
Thanks for Steven to cover the first use case. Attached is the document what was covered and below are some questions that came up to think through
VA Payer Use Case
How to manage the referrals if the referral is for a group just in the VA use case– can that relate to double spend?
How can we relate waste and abuse with the double spend?
How do we manage the data - what is not on the chain – In this case what should be on chain and off chain?
How are we going to handle format changes like 4010 – 5010 etc.
Digital ID – How to we address this for each member
Sub Use cases
Orchestrating the work load
Verifying the services was performed before payment
Authentication and Authorization for parties that are participating
Team brainstormed on what is right for blockchain implementation and Jeff reviewed a flow chart that facilitates the decision. Jeff – can you please send the document that you were sharing the other day.
Group discussed an opportunity to go deeper into one use case and agreed to start with Pre-Auth use case