Palantir Foundry and EPIC Integration - Biller Notes retrieval / submission

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1

Hey Dev Community!

I’ve built an application to enable case workers to embed AI into Professional Billing Denials management. The application is complete and working as expected with the Sandbox data provided by EPIC showroom.

We are completing the EPIC Showroom Vendor Services application but cannot identify the EPIC endpoint need to bring in the Biller’s Note. Another question is, how to submit those notes back? You can image, that within a platform we have built an application that allows us users to send back the notes that they have written within the application back to EPIC. We have already tried to ingest Document References from the sandbox patients, but there is no evidence in the category field that there are some considered to be Biller notes.

Can anyone point me in the right direction? Is it likely to be found via the DocumentReference.Search, Account.Read or ExplanationOfBenefit.Search endpoints?

Thanks!

References:

https://fhir.epic.com/Sandbox?api=1047

https://fhir.epic.com/Sandbox?api=11039

https://fhir.epic.com/Sandbox?api=10505

3

You may need to look outside of FHIR to a data warehouse or a report.

in terms of getting billing notes into your application:
i have seen this a few ways depending on how the specific RCM team uses Epic for tracking, but there is the “Billing Activity” table which has “Activity” and “Context” columns on it, both of which could help you get the information you are looking for on PB denials data. Also, there is the “Billing Indicator” table which often has detailed billing indicators linked to the account, which depending on how they use Epic this may have the notes you need.

in terms of getting information back to Epic:
I don’t have much for you here, but I would consider how applications like OnBase get information back to Epic, and if there could be automation around sending or generating billing indicators.

hope this is helpful!