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Provider Access API

1up Provider Access API visualized with doctor on a tablet

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 […]

Provider Directory API

Pharmacist using a tablet

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 […]

Payer-to-Payer API

1up Payer-to-Payer Data Exchange API visualized with man sitting in office in front of a large computer screen

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 visualized with a healthcare worker on a laptop with a document on the screen showing a signature and checkmark

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 […]

Payer’s Playbook: CMS Interoperability Final Rule

Payer's Playbook: CMS Interoperability Final Rule

How-To Guide Payer’s Playbook: CMS Interoperability Final Rule How to set the foundation for a seamless tech implementation In January 2024, the Centers for Medicare & Medicaid Services (CMS) published the Advancing Interoperability and Improving Prior Authorization final rule (CMS-0057-F). While payers will need to make some technical decisions – including vendor selection – to […]