Term	Definition
Attribution	The process of associating a member with a provider or organization to establish a treatment relationship.
Attribution List	The list of members assigned or attributed to a specific provider for treatment and data-sharing purposes.
EOB (Explanation of Benefits)	A record from a payer describing the services provided to a patient and how they were processed, excluding sensitive financial information.
Group Resource	A FHIR resource representing a collection of patients attributed to a provider or organization.
In-Network Provider	A healthcare provider that has a contractual relationship with the payer.
Member (Patient)	The individual whose health data is being accessed through the API.
OAuth 2.0	The standard authorization protocol used to securely obtain access tokens.
Opt-in	Member has agreed to allow their data to be shared via the Provider Access API.
Opt-out	Member has declined to allow their data to be shared via the Provider Access API.
Payer	An organization that manages and pays for healthcare services for members, stores patient data, processes claims, and responds to provider data requests.
Payer / Server / Producer / Source	Synonyms for actors responding to requests for patient data from payer systems.
Payer System	The system within a payer organization that manages patient data and responds to requests from provider systems.
Prior Authorization (PA)	Payer approval required before certain healthcare services or procedures.
Provider	A healthcare entity (clinician, clinic, hospital, or provider organization) system that delivers care to members and may request patient data from payers.
Provider / Client / Consumer / Target	Synonyms for actors requesting patient data from payer systems.
Provider System	The application or system used by a provider to request patient data from a payer.
SMART on FHIR	A secure framework that uses OAuth 2.0 for authorization and integrates apps with FHIR servers.
USCDI v3	The U.S. Core Data for Interoperability, defining essential clinical data elements for exchange.

70.4 Consent Management

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