The Murky Past Without FHIR

Even with rapid technological advancements in healthcare, data exchange struggles are still far too many. With increasing amounts of data flowing in and out of payer organizations every day, we are only at the precipice of interoperability. The latest FHIR API regulations in the Interoperability and Patient Access final rule promise a bright future with smooth data exchange standards. Before we go into the details of FHIR API implementation outlined in the Interoperability and Prior Authorization proposal, let us look at the instances that led us to the threshold of interoperability.

What are the FHIR APIs and how do they Work?

In an attempt to make the healthcare eco-system patient-centric, the CMS has mandated the implementation of the Patient Access API.

Provider Directory API

Payer-to-Payer Data Exchange API

Prior Authorization API

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