The Interoperability and Prior Authorization final rule, CMS-0057-F, is a significant step on the road to true interoperability between payers, providers, and patients. The new rule gives healthcare organizations an opportunity—and an obligation—to improve the patient experience, reduce administrative burdens, and create new operational efficiencies.
With nearly three decades of experience in healthcare data interoperability and compliance, the Edifecs’ interoperability platform includes the technology required to enable compliance with CMS-0057-F. Our FHIR and EDI capabilities offer a robust solution that addresses all aspects of the mandate, including APIs for Prior Authorization, Patient and Provider Access, and Payer-to-Payer data exchange. We have been named Best in KLAS for CMS Payer Interoperability for two years in a row and support leading health plans, CMS, and government agencies nationwide. Our solutions give your organization the tools you need to seamlessly exchange data while meeting FHIR® standards to ensure ongoing compliance with CMS requirements.
Build a Better Healthcare Ecosystem
We have the tools and expertise to help you comply with CMS-0057-F requirements.
Deliver a faster and more streamlined experience for partners and members.
Ensure seamless data standardization and exchange through our FHIR and EDI unified gateway.
Improve the effectiveness of data exchange across the healthcare spectrum.
