Payer’s Guide to Interoperability: How to plan, implement, and maximize value for CMS-0057

EBOOK Payer’s Guide to Interoperability How to plan, implement, and maximize value for CMS-0057 With the January 1, 2027 compliance deadline for the Interoperability and Prior Authorization final rule (CMS-0057) fast approaching, payers have much to accomplish. To help you navigate your organization’s journey to CMS-0057 compliance and beyond, we’ve put together the Payer’s Guide […]

FHIR & the Art of the Possible

FHIR Webinar Series​​ FHIR & The Art of the Possible In this video series, 1upHealth’s Nolan Kelly and Kevin Yamashita explore what’s possible with FHIR, including real-world scenarios from across our base of 80+ enterprise organizations. Request a demo Episode 1 Episode 2 Episode 3 In this first episode, Nolan and Kevin: Introduce the 1upHealth […]

1up Patient Access

Glossary

1up Glossary Explore the most important terms and concepts in healthcare data and interoperability. All A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Ready to Go Beyond Compliance? See how 1upHealth’s solutions help payers turn interoperability into […]

CMS Final Rule FAQs

CMS Final Rule: Frequently Asked Questions Below are the frequently asked questions surrounding the Interoperability and Prior Authorization final rule (CMS-0057-F). Request a readiness assessment Webinar Navigating the CMS Final Rule: Building Your Compliance Roadmap. Learn more about CMS Final Rule, watch our 2-part webinar series. Watch webinar FAQs Will payers be required by CMS […]

Provider Directory API

Provider Directory API Everything you need to know about the Provider Directory API including its purpose, who it affects, and when it goes into effect. Let’s talk Brief What Is The Provider Directory API? FHIR® API conformant with the relevant technical requirements outlined in 45 CFR §170.215 that is accessible via a publicfacing digital endpoint […]

Provider Access API

Provider Access API Everything you need to know about the Provider Access API including its purpose, who it affects, and when it goes into effect. Let’s talk Brief What Is The Provider Access API? Impacted Payers must: FHIR® API conformant with the technical requirements outlined in 45 CFR §170.215 that supports the delivery of any […]

Patient Access API

Patient Access API Everything you need to know about the Patient Access API including its purpose, who it affects, and when it goes into effect. Let’s talk Brief What is the Patient Access API? Impacted Payers must: FHIR® API conformant with the technical requirements outlined in 45 CFR §170.215 that supports the delivery of any […]

Payer-to-Payer API

Payer-to-Payer Data Exchange on FHIR® Everything you need to know about the Payer-to-Payer Data Exchange on FHIR® including its purpose, who it affects, and when it goes into effect. Let’s talk Brief What Is The Payer-to-Payer Data Exchange on FHIR®? Impacted Payers must: (a) within one (1) week of the start of coverage for new […]

Prior Authorization API

Prior Authorization API Everything you need to know about the Prior Authorization API including its purpose, who it affects, and when it goes into effect. Let’s talk Brief What Is The Prior Authorization API? Maintain a FHIR® API conformant with the technical requirements outlined in 45 CFR §170.215 that is populated with a list of […]