PPA+Actors+and+Roles

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 * Below is the initial draft of the Actors and Roles developed by the Use Case Team. Please provide actionable feedback and comments to this content by COB Tuesday 1/17/2012 via the Discussion Tab. You can also download the editable copy below and make changes using Track Changes feature so we can see the changes made. **

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Section **8.** **Use Case Actors and Roles** 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: __ 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 ** ||
 * Registration Requestor || Registration Requestor || Registration Requestors Information System || * Provider Information Source
 * Registration Requestor and Confirmation Receiver ||
 * Provider Agent / Access || Health Information Handler (HIH) || Agent/Access Information System || * Information Requestor/Collector
 * Information Combiner/Router ||
 * Payer (Healthcare and Disability) || Medicare

Medicaid

SSA - Disability

Commercial || Payer Information System || * Validates Providers against current enrolled provider list
 * Confirms ESI to receive MDRs electronically
 * Respond to registration request ||
 * 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 ||

Expanded descriptions of the terms corresponding to the table above can be but are not limited to:
 * __ Registration Requestor __ - Provider, Provider Organization, Agent
 * __ Registration Requestor Information System __ - Provider Directory / Billing System / Medical Records System
 * __ Agent/Access Information System __ - Transforming/routing system, Auditing System, (Provider Directory)
 * __ Payer Information System __ - Claims System, (Provider Registration System (Provider Directory), Business to Business Systems
 * __ Payer Gateway Information System __ - Transforming/routing system, Auditing System

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