BCDA is one of CMS’ first APIs to use the bulk FHIR specification, which means BCDA sends back records on all of an ACO’s assigned or assignable beneficiaries, rather than on a patient-by-patient basis.The goal of the Beneficiary Claims Data API (BCDA) is to provide Accountable Care Organizations with the same claims data as they were receiving in Claims and Claim-line Feeds (CCLFs). Within eight months of the 2017 meeting, the Centers for Medicare and Medicaid Services (CMS) were already using the standard in pilots to provision data to ACOs. A report from the November meeting describes progress on the FHIR bulk data front, noting that within six to eight months of the first meeting on this topic in 2017, CMS was already using the standard in pilots, and EHR vendors are getting ready to embrace bulk data. These files contain synthetic data, but the structure of the files is similar to the actual files you will be pulling and downloading from BCDA.To learn more about FHIR, bulk FHIR specifications, or the Beneficiary FHIR Data Server (BFD) API, please visit these resources:The BCDA Google Group is the best place to get your questions answered by the BCDA team. Once you have been approved and granted access to the dpc.cms.gov site, you will need to generate your API tokens and public keys to stat testing the data. The FHIR standard is developed by HL7, a group dedicated to creating standardized ways of sharing and structuring health care data.In FHIR, standardized data is structured on a basic building block called a “Resource.” All “exchangeable” data is defined as a resource, and a resource is made up of data that systems or computers can easily understand (as well as a part that is more readable by humans). BCDA follows the bulk FHIR specification, and provides the same data as the CCLFs using three FHIR resources: explanation of benefit, patient, and coverage. We make the underlying FHIR resources available to providers through an efficient bulk access model that complies with the FHIR Bulk Data Specification. In fact, today, we are launching a project that uses the FHIR Bulk Spec to share Medicare claims data with Accountable Care Organizations or ACOs. In this community you can sign up for feedback session opportunities, get answers to your questions, share your feedback and ideas, and get updates on the project. BCDA Engineers have designed the API to deliver the same claims data as is contained in the CCLFs.In order to aid in users’ understanding of BCDA file data and structure, we provide sample Explanation of Benefit, Patient, and Coverage files for download. Click the “+ New token” icon as seen in the screenshot below: Other federal agencies also have use cases involving bulk data, the report added. BCDA sends data acquired through the Beneficiary FHIR Data Server (BFD) API, which is structured using the FHIR standard, making it more available, discoverable, and understandable. The CMS news comes on the heels of Apple's adoption of FHIR HL7 for its health application ecosystem in late January. Claims information can be used to confirm information, fill in gaps in care, and improve patient safety.The primary source of data for the DPC project is the Information regarding the Blue Button Data Profiles can be found in the corresponding Demand for standardized bulk data export in the Flat FHIR format is growing rapidly. Claims data also include prescriptions covered by a Part D Prescription Drug Program in which the beneficiary is enrolled.

Data @ the Point of Care Implementation Guide Version: ®© This means that your claims data will arrive in three files, rather than 12, and will already provide links between claim lines in the same claim.

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