CMS Rule Interoperability Mandate for Payers
CMS Interoperability Final Rule
CMS recently introduced new interoperability mandates for health plans that must be implemented by July 1, 2021. These include:
- Patient Access Rule - FHIR® for members to share data with apps
- Provider Directory API - FHIR® API for a provider directory
- Payer to Payer Data Exchange - Send and receive member data with other plans (Jan 2022)
Read more CMS patient access and interoperability requirements.
Biometric Health Solution
CMS recently introduced new interoperability mandates for health plans that must be implemented by July 1, 2021. These include:
- Patient Access Rule - FHIR® for members to share data with apps
- Provider Directory API - FHIR® API for a provider directory
- Payer to Payer Data Exchange - Send and receive member data with other plans (Jan 2022)
Read more CMS patient access and interoperability requirements.
Integrated FHIR® Platform as a Service
Data Transformation
- Claims, encounters, etc. FHIR® R4
- Provider directory integration
- Support for X12, CCDA, and other interfaces
FHIR® API Server
- Cloud-based, auto updates, serverless
- HIPAA compliant, SOC-II Audited
- Supports FHIR® R4
- Automated testing built-in
3rd-Party Access Mgmt
- Developer API token management
- Developer console
- Audit-log and API metrics
- Member consent management app
Dev + Member Support
- Developer & member support (email & phone)
- 3rd-party app policy & security reviews
- FAQs / API Documentation
Platform Capabilities
- Clinical Data Network - access patient data across 10K+ facilities
- FHIR® Subscription alert notifications
- FHIR® SQL analytics & bulk export
Compliant, Secure, Easy
Meet all CMS Mandates
- Patient Access APIs
- Public Provider Directory API
- Payer to Payer Data Exchange
Demonstrated Security
- 1st place in ONC’s Secure FHIR® Server Challenge
- HIPAA Compliant
- SOC 2 Audited
Go live on time with ease
- Solution is already built, in production
- No additional integrations needed
- Quick 9 week implementation
- Fully, managed cloud deployment
- Simple pricing (per member per year) without license fees
Biometric Health leads FHIR® interop
- Biometric Health is literally setting the standard with HL7
- Built the CARIN FHIR® App Gallery
- Built the Bulk Data Analytics Reference
- Founding members of FHIR® Business Alliance
You'd be crazy to work with other vendors
- Biometric Health is in production for all CMS requirements
- Biometric Health has a patient app network
- Biometric Health has 1000s of direct FHIR® connections to health systems
- Biometric Health received numerous FHIR® awards from the US Government
