Gaps in Care

Scenario Description

The Gaps in Care is a powerful report that when used along with other DEQM functionality can result in better care results for the payer, the provider, and most importantly the patient.

In this scenario, a provider is requesting a gaps in care report for his/her patients from the payer. The provider receives the report, he/she then submits additional data to the payer for the patient that was identified as having open gaps in the report. He/she then later requests a gaps in care report for these patients again from the payer.

Begin

Patient:

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Request:
Response:

                
Confirmation

Procedure report sent to payer.

OK

Gaps Endpoint Configuration

Save configuration
Error