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CMS Interoperability and Patient Access Final Rule (CMS-9115-F). Convert and load 5 years of Patient Data for Medicare Advantage (MA), Medicaid, Children's Health Insurance Program (CHIP), and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs).

  1. Patient Access API - • The CARIN Consumer Directed Payer Data Exchange IG (also referred to as the CARIN IG for Blue Button®) • HL7 FHIR Da Vinci PDex IG • HL7 US Core IG • HL7 FHIR Da Vinci - PDex US Drug Formulary IG

  2. Payer-to-Payer API - Da Vinci Payer Data Exchange

  3. Provider Directory API - HL7 FHIR Da Vinci PDex Plan Net IG

  4. Prior Authorization Support (PAS) API - HL7 FHIR Da Vinci - PAS IG

  5. Documentation Requirements Lookup Service API - HL7 FHIR Da Vinci - Coverage Requirements Discovery (CRD) IG, HL7 FHIR Da Vinci - Documentation Templates and Rules (DTR) IG

  6. Bulk Data - HL7 FHIR Bulk Data Access(Flat FHIR) Specification

Sold by HiPaaS Inc.
Fulfillment method Professional Services

Pricing Information

This service is priced based on the scope of your request. Please contact seller for pricing details.


HiPaaS offers core product support as part of the offering. • Any core product defects or issues will be resolved based on priority and sla. Please contact to log product defects. • HiPaaS also offers paid managed services for monitoring,loading and converting your FHIR data. • For large amount of data conversion dedicated environment will be offered under private pricing. • HiPaaS also offers professional services to implement various data transformation. • HiPaaS offers training documentation and hands on training