Abstract
Earlier we discussed how the Utah Health Information Network (UHIN) began as a secure, standards-based approach to exchange health insurance claims information. Today, the interaction between health care providers and payers is often retrospective when it could be done in real time. It is often episodic and it could be a far more efficient process if provider and payer information systems were able to share data electronically. This is yet another opportunity for interoperability and payers have begun to appreciate and act on the potential of FHIR to transform their business processes, particularly as they connect with providers.