Last Test (RT 2a Provider Patient Exchange) Next Test (RT 2c Provider Patient Exchange)

Required Test 2b - Health IT Modules Certified to (e) (1)


Program Name: Merit-based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure
Measure Objective: Provider To Patient Exchange
2026 Promoting Interoperability Measure: Provide Patients Electronic Access to Their Health Information:For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).

Notes:

1: A patient seen dug te reporting period with the numerator already populated and recorded will not increment the denominator and will not increment and re-record the numerator.
2: A patient seen during the reporting period who receives access at the first encounter and does not receive access at the second, or subsequent, encounters will populate and record the numerator at the first encounter and will decrement the numerator for the first subsequent visit, in which the required data is not provided within the required time period.
3: A patient seen during the reporting period who does not receive access at the first encounter and does receive access at the second, or subsequent, encounters will not populate and record the numerator for the first or any subsequent visits.
4: If a Health IT Module automatically and simultaneously makes patient data available to both View, Download, and Transmit health information and available to an API, it is at the discretion of the ONC-ATL not to test the scenarios where it is assumed that this is not automatic for each method.
5: Patients seen multiple times during the reporting period will not increment the denominator after the initial visit.
6: Test data supply: ONC and Vendor-supplied. ONC provides the Test Data Scenarios and parameters; the Vendor supplies the patient visit, clinical information, and Ambulatory and Inpatient summaries (or Inpatient Summary of Care).
7: The Promoting Interoperability Measure requires that a patient have access to both view online, download, and transmit to a third party AND have the data available via an API in an EP/EC's CEHRT. Please see the Certification Companion Guide for more information on the requirement for testing and attestation requirements.
8: The name of this measure changed from Patient Electronic Access to Health Information to Provide Patients Electronic Access to Their Health Information. No other changes were made to the test data.

Scenarios:

Show/Hide Discretionary Steps

More information can be found in Note 4
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Pauline Duncan
5/13/1989
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Bessie Blake
11/3/1971
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Leah Adams
8/6/1989
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Phillip Richardson
9/21/1982
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. Not seen
  3. Not seen
  4. First encounter
  1. Yes
  2. No
  3. No
  4. Yes
 1 / 1 1 / 1 0 / 0 0 / 0 0 / 0 0 / 0 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Tiffany Estrada
1/6/1983
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. No
  3. Yes
  4. No
 1 / 1 1 / 1 0 / 1 1 / 1 1 / 1 1 / 1 0 / 1 1 / 1 1 / 1 1 / 1 0 / 1 1 / 1
Cumulative Total 5 / 5 5 / 5 3 / 4 4 / 4 4 / 4 4 / 4 4 / 5 5 / 5 5 / 5 5 / 5 4 / 5 5 / 5
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Bessie Blake
11/3/1971
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. Second encounter
  2. Second encounter
  3. Second encounter
  4. Second encounter
  1. No
  2. No
  3. No
  4. No
 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0
Pauline Duncan
5/13/1989
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. Second encounter
  2. Second encounter
  3. Second encounter
  4. Second encounter
  1. No
  2. No
  3. No
  4. No
 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0
Leah Adams
8/6/1989
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. Second encounter
  2. Second encounter
  3. Second encounter
  4. Second encounter
  1. No
  2. No
  3. No
  4. No
 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0
Cumulative Total 2 / 5 5 / 5 0 / 4 4 / 4 1 / 4 4 / 4 1 / 5 5 / 5 2 / 5 5 / 5 1 / 5 5 / 5
Denominator Criteria Numerator CriteriaNumerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
David Richards
9/8/1984
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Emma Martinez
9/16/1996
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Roy Wong
9/7/1984
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Cumulative Total 5 / 8 8 / 8 3 / 7 7 / 7 4 / 7 7 / 7 4 / 8 8 / 8 5 / 8 8 / 8 4 / 8 8 / 8
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Edith Osborne
10/23/1985
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. No
  2. No
  3. No
  4. No
 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1
Andy Perkins
10/10/1965
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. No
  2. No
  3. No
  4. No
 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1
William Snyder
12/4/1991
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. No
  2. No
  3. No
  4. No
 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1
Cumulative Total 5 / 11 11 / 11 3 / 10 10 / 10 4 / 10 10 / 10 4 / 11 11 / 11 5 / 11 11 / 11 4 / 11 11 / 11
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Tiffany Estrada
1/6/1983
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. Second encounter
  2. Not Seen
  3. Not Seen
  4. Second encounter
  1. Yes
  2. No
  3. No
  4. Yes
 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0
Cumulative Total 5 / 11 11 / 11 3 / 10 10 / 10 4 / 10 10 / 10 4 / 11 11 / 11 5 / 11 11 / 11 4 / 11 11 / 11