iEHR Fiscus: Revolutionizing Healthcare Billing and Financial Management with FHIR
Fiscus: Financials & Coverage | AI-driven, FHIR®-native, interoperable EHR - iEHR
Summary
iEHR has developed Fiscus, a solution built on HL7 FHIR to support workflows for billing, payments, and coverage. This bridges the gap between clinical and financial systems, ensuring transparent and efficient revenue cycle management.
Details
iEHR Fiscus is a platform that utilizes FHIR R5 Financial Resources (including Coverage, Claim, ExplanationOfBenefit) to standardize and automate the entire process from claims submission to payment. Key modules include a Claims Management Engine for submitting and processing FHIR Claims and receiving responses; a Coverage & Eligibility Service for real-time insurance verification; and a Payment & Reconciliation Hub for posting payment notices and mapping revenue data. It also uses ChargeItemDefinition for service pricing, enabling pre-treatment cost estimation. The system supports integration via RESTful/GraphQL APIs, SMART-on-FHIR Hooks, and connector libraries for major EHRs (Cerner, Epic, Meditech). This enables seamless interoperability with payers, providers, and clearinghouses. By adopting FHIR, it ensures data exchange interoperability and auditability, helping harmonize operations between healthcare providers and payers, reducing administrative overhead, and enhancing patient transparency in digital reimbursement.
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