For AI agents: the documentation index is at /docs/payerbox/llms.txt. A Markdown version of this page is available at /docs/payerbox/data-integration/consent.md or by requesting it with the Accept: text/markdown header.
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Member Consent

A member opts out of Provider Access and opts in to Payer-to-Payer. Each decision becomes one FHIR Consent that the APIs read: the PDex Provider Consent for the opt-out, the HRex Consent for the opt-in. Members can record both choices themselves on the member portal's Data sharing page; whoever else holds the decisions delivers them in one of two shapes.

Flat files. Your consent system exports the decisions as CSV, dataset by dataset, and Payerbox builds the FHIR: the Consents, the coverages a member names, the forms and the documents of authority.

FHIR bundles. Your system already holds the decisions as FHIR and writes the records itself: one transaction per decision, addressed by your own numbers.

Both end in the same records, read the same way by Provider Access and Payer-to-Payer; the element-level rules are in the Consent reference.

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