Key Features

Primary features of Risk Coding Gaps Cloud Service.

Oracle Health Quality Management for Payers Risk Coding Gaps Cloud Service includes the following features:

  • Ingestion of payer data: Receives weekly payer files following the Da Vinci Risk Adjustment FHIR Implementation Guide (v2.1.0: STU 2), built on the HL7 FHIR R4 standard.
  • Transfer of payer data: Sends payer-generated risk coding gaps to Oracle using secure file transfer protocol (SFTP) that is established in partnership with the Oracle Clinical Data Exchange (CDeX) team. Payers work with Oracle to set up a public cloud storage resource provided by leading cloud providers like Oracle Cloud Infrastructure (OCI) or Amazon Web services (AWS).