Government Benefits Determination

TEFCA for Gov't Benefits Determination

The Trusted Exchange Framework and Common Agreement (TEFCA) provides the groundwork for secure, nationwide data exchange for permitted exchange purposes.

Support government agencies with the information they need to determine whether a person qualifies for non-government health benefits.

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How TEFCA supports Benefits Determination

TEFCA facilitates the secure health information exchange to assist federal or state government agencies in deciding whether a person is eligible for federal or state benefits for any reason other than health care.
Sample workflow for Government Benefits Determination
Step 1
Query the TEFCA network
The United States Social Security Administration (SSA) requests medical information from TEFCA exchange through a connected QHIN.
Step 2
Retrieve medical records
Medical records are securely retrieved under the permitted exchange purpose of Benefits Determination.
Step 3
Facilitate benefits determination
The SSA uses the retrieved information to facilitate disability benefits determination for an applicant.

Secure and trusted


We’re HITRUST R2 certified, which means that we successfully manage cybersecurity risks by exceeding industry-defined information security requirements.

SOC 2 Type 2

SOC 2 Type 2 is a stamp of approval on our controls relevant to data security, availability, processing, integrity, confidentiality, and privacy.


Complying with applicable health data laws, including HIPAA, is ingrained in our culture, processes, and staff training.