The definition says - The patient initiates the digital communication through a Health Insurance Portability and Accountability Act (HIPAA) compliant platform. The service includes all asynchronous (not in real-time) communication with the patient, review of the initial patient query and medical records, personal interaction with clinical staff by the provider related to the patient query, and development of a plan including ordering any necessary prescriptions or tests. We are billing for these in our office. I am curious if anyone else is and what is the feedback they are getting from their patients. 99421, 99422, 99423.