FHIR Layer EXchange (FLEX) Release Notes

Access Management

Third-party Vendor Portal

Added new Optum branding

Patient Access APIs

Claims APIs 

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®):  http://hl7.org/fhir/us/carin-bb/history.html  

No Changes  

Public Directory APIs

Provider Directory APIs

DaVinci PDEX Plan Net: http://hl7.org/fhir/us/davinci-pdex-plan-net/history.html  

1. Added multiple parameter search operation for the following resources 

• PractitionerRole
• Location
• HealthcareService
• OrganizationAffiliation

Payer to Payer (future functionality)

In 2021, the Centers for Medicare and Medicaid Services (CMS) opened the door for health plan members to easily access and share their health data. Members can securely and seamlessly transfer their health information from a prior health plan to their new health plan (Payer). Members must grant Payers permission to access their previous health plan information. 

Functionality to support this member-initiated Payer to Payer data exchange has been implemented for Data Acquisition and Data Externalization workflows. However, full functionality in production is dependent on forthcoming CMS updated rulemaking and other Payers supporting Payer to Payer registrations.

Data Acquisition: 

A current member of Optum Tooele requests their health data be obtained from their previous or another current Payer (e.g., Aetna, Medicare)

Data Externalization: 

A member with a different Payer (e.g., Aetna, Medicare) requests Optum Tooele send their health data to their new Payer. The member must be a current or past member of Optum Tooele to initiate this request. Data Externalization is only allowed within 5 years of leaving the covered health plan

Provider Directory APIs

Implementation Guide: DaVinci PDEX Plan Net: http://hl7.org/fhir/us/davinci-pdex-plan-net/  No Change