AoR+L1+-+Actors+and+Roles

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This table outlines the business actors that are participants in the information exchange requirements for each scenario. A business actor is a person or organization that directly participates in a scenario. Thus, as a person or organization, the actor can (and should) be a stakeholder.

NOTE: A Business Actor may be a Stakeholder and also can have more than one role.

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• An individual provider • A group of providers • A Hospital/Health System or   • An Agent on their behalf  || Provider Information System ||  • Send Registration request to Payer Organization receive eMDRs • Receive eMDRs from Payer Entity • Send documents in response to eMDR • Digitally attest to document submission || • Payer • Payer Contractor • Payer Gateway || Payer Information System ||  • Send eMDR to Provider Entity   • Digitally authenticate submission of information to Provider Entity  || • May provide RA services || • Provides Identity proofing || • Responds to queries for Provider Information • Provides appropriate ESI to receive eMDRs ||
 * ~ Actor ||~ System ||~ Role ||
 * ** Provider Entity **
 * ** Payer Entity **
 * ** Certificate Authority ** || CA Information System  ||  • Creates, Issues and manages security credentials and revocation lists
 * ** Registration Authority ** || RA Information System  ||  • May assist in completion of information required to obtain a certificate
 * ** External Provider Directory ** || Provider Directory || • Stores and manage Provider Information / ESI

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