CODEWITHSUNDEEP
data-modeling
Big Endian
Big Endian

Reputation: 954

Data Model Standard for Health Insurance companies -- akin to HL7

Quick question: is anyone aware of an off-the-shelf data model to support the health insurance business? I started reading about HL7, but this seems to pertain to hospital and providers operations, although I could be wrong.

Please advise

Upvotes: 1

Views: 894

Answers (2)

Geoffrey Clapp
Geoffrey Clapp

Reputation: 65

Check out https://eligibleapi.com/ - their API will like it will provide what you are looking for, but with a RESTful service behind it (so it's more than just the semantics you may get for HL7) - even if you are just looking for modeling, it's worth checking out.

Upvotes: 1

Bryan Batchelder
Bryan Batchelder

Reputation: 3637

What you want is covered by EDI transactions that are specific to healthcare/insurance. North America uses the ANSI ASC X12 standard.

A quick list of Health/Insurance related transactions can be found here: Insurance/Health Series (INS).

Upvotes: 2

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