Key Takeaways

Great work! Let's review some key takeaways from this course:

Implementation Paths:

  • There are three implementation paths depending on the type of customer you are, this course focuses on scenario 2 where you generate and send the MRF files to Kyruus Health to host on a landing page; Kyruus Connect for Providers uses these files to populate your cost estimator tool

Connecting Data Files to One Another:

  • Your organization is responsible for sending plan details file, out of network allowed amount, region xWalk (if it varies by region or zip code), plan details, and POS mapping 
  • The remaining files are generated by extracting data from the other files; Kyruus Health takes your INN MRF files and reverse-engineers the data into the specification files

Considerations for Implementations:

  • Scenario 2 clients send their MRF JSON files to Kyruus Health for hosting, and include some of the files from the Price Transparency Data Specification to support generating your required table of contents 
  • Implementation path: create your MRF files, prepare supplemental Price Transparency Data files, send your MRF and the Price Transparency Files to Kyruus Health, then Kyruus Health hosts the MRF JSON files on a landing page for public access
    • Kyruus Connect for Providers users the MRF JSON and Price Transparency Files to power the cost estimator tool
  • Required to submit: plan details, external MRF mapping, out of network allowed amounts, POS mapping, region xWalk 

TiC Data Specification File Overview:

  • This file includes all of the information you need to fill out as well as detailed instructions and workflows to show you how the data is extracted and mapped into Kyruus Connect for Payers
  • Allows you to understand what data is required, what the proper format should be, how it connects to other files, etc.

TiC Companion Guide Overview:

  • This guide shows the implementation requirements, files you need to submit information about, and how the files connect to the mandate requirements
  • In conjunction with the data set, this file will answer many of your questions in the implementations process 

Connecting the Dots Between the Data and the UI:

  • The path for scenario 2 customers: 
  1. Understand your implementation path
  2. Know which files are required for your implementation path
  3. Review how the files connect to come together and deliver against your implementation needs