PPA+UC+2+-+Actors+and+Roles





= The content within this page has been incorporated into the full Use Case posted here =

This section describes the Business Actors that are participants in the information exchange requirements for each scenario. A Business Actor is an abstraction that is instantiated as an IT system application that a Stakeholder uses in the exchange of data needed to complete Use Case action(s). Furthermore, the systems perform specific roles in this Use Case as listed below:
 * Use Case 2 Actors and Roles **

__ NOTE: __ A role can be carried out by actors not included in this table; however, for the purposes of this Use Case, we are focusing on the content within the table below. In addition, the same actor may perform a combination of roles.


 * ** Business Actor - Generic ** || ** Business Actor - Specific ** || ** System ** || ** Role ** ||
 * eMDR Consumer || eMDR Consumer || eMDR Consuming Information System || * Provider Information Source
 * Registration Requestor and Confirmation Receiver
 * eMDR Receiver ||
 * Provider Agent / Access || Health Information Handler (HIH) || Agent/Access Information System || * Information Requestor/Collector
 * Information Combiner*/Router ||
 * Payer (Healthcare) || Medicare

Commercial || Payer Information System || * Validates Providers against current enrolled provider list
 * Confirms ESI to receive MDRs electronically
 * Respond to registration request
 * Send eMDR ||
 * External Provider Directory || External Provider Directory || Provider Directory || * Manage Provider Information
 * Stores and responds to queries for Provider Information ||
 * Payer Gateway || esMD Gateway || Payer Gateway Information System || * Auditing
 * Transaction Logging
 * Routing
 * Transforming
 * Error Handling and Notification
 * Submitted Authentication ||
 * Payer Contractors / Intermediaries || Payer Contractors / Intermediaries || Payer Contractor Information System || * Provider Registration Information Requestor
 * Current ESI Requestor
 * Sends eMDR ||

Expanded descriptions of the terms corresponding to the table above can be but are not limited to:
 * __ Registration Requestor __ - Provider, Provider Organization, Agent
 * __ eMDR Consuming Information System __ - Provider Directory / Billing System / Medical Records System
 * __ Agent/Access Information System __ - Transforming/routing system, Auditing System, Internal Provider Directory
 * __ Payer Information System __ - Claims System, Provider Registration System, Internal Provider Directory, Business to Business Systems
 * __ Payer Gateway Information System __ - Transforming/routing system, Auditing System
 * __ Payer Contractor Information System __ – Claims System, Auditing System, Provider Directory
 * __ *Information Combiner __ - An Agent or an HIH may combine eMDR requests for various providers within a group practice or a hospital system that originates from the payer or payer contractor.