Overview
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).
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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
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Payer-to-Payer API - Da Vinci Payer Data Exchange
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Provider Directory API - HL7 FHIR Da Vinci PDex Plan Net IG
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Prior Authorization Support (PAS) API - HL7 FHIR Da Vinci - PAS IG
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Documentation Requirements Lookup Service API - HL7 FHIR Da Vinci - Coverage Requirements Discovery (CRD) IG, HL7 FHIR Da Vinci - Documentation Templates and Rules (DTR) IG
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Bulk Data - HL7 FHIR Bulk Data Access(Flat FHIR) Specification
Highlights
- Enable CMS Interoperability and Patient Access Final Rule (CMS-9115-F) and Prior Authorization proposed rule (CMS-9123-P) 1. Patient Access API 2. Payer-to-Payer API 3. Provider Directory API 4. Prior Authorization Support (PAS) API
Details
Pricing
Custom pricing options
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Support
Vendor support
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 support@hipaas.com 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