By utilizing key components such as Data Connectors, FHIR Data Mapper, FHIR API Server, and FHIR Data Repository, organizations can efficiently implement CMS interoperability. This platform ensures compliance with CMS standards, facilitating secure, standardized access to patient information while enhancing healthcare operations.
Enable CMS Interoperability Rules & APIs for Healthcare
Enable CMS Interoperability Rules and FHIR API. Implement CMS Interoperability and Patient Access Final Rule (CMS-9115-F) and Prior Authorization Final Rule (CMS-0057-F)
CMS Interoperability and Patient Access Final Rule (CMS-9115)
Convert and load 5 years of patient data for MA, Medicaid, CHIP, and QHP issuers on FFEs
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Enable Patient Access API
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Enable CARIN Consumer Directed Payer Data Exchange IG (also referred to as the CARIN IG for Blue Button®)
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HL7 FHIR Da Vinci PDex IG
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HL7 US Core IG
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HL7 FHIR Da Vinci
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PDex US Drug Formulary IG
Enable Provider API, Payer to Payer API (CMS-0057)
Enable CARIN Consumer Directed Payer Data Exchange IG (also referred to as the CARIN IG for Blue Button®)
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HL7 FHIR Da Vinci PDex IG
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HL7 US Core IG
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HL7 FHIR Da Vinci
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PDex US Drug Formulary IG
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Enable Da Vinci Payer Data Exchange
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Enable HL7 FHIR Da Vinci
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PDex Plan Net IG
Enable FHIR API, Member and Patient Access and 3rd Party App
Enable all required FHIR APIs for CMS Interoperability.
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Enable required security for Member and Patient login.
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Oauth2.0.
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Enable 3rd Party Registration of applications and Consent Management.
Enable Prior Authorization Support (PAS) API (CMS-0057)
Enable Prior Auth final rule integrating with existing 278 EDI transactions. Manage attachment and prior auth requests.
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278 Prior Auth real time and batch
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Manage prior auth queue
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Approve and Deny Prior auth
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Manage Attachments
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Manage Case notes
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AI driven confidence code
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Check eligibility
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Integrated with Pega, QNXT, Facets, HealthRules
Load 5 Years of Member and Patient Data
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Transform data effortlessly with the HiPaaS FHIR Data Converter!
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Easily manage claims adjudication and data loads—just point, connect, and convert.
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HiPaaS integrates seamlessly with EHRs like Athena, Cerner, and eCW, connecting to databases or APIs to handle diverse formats including CCDA, HL7, CSV, JSON, and XML.
Quick Data Validation & Cleansing
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Add various input data validation rules and data cleansing, or conversion rules via simple configuration.
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Apply the rules to entire map or at field level
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Clean Data before loading
What you get!
Seamless CMS Compliance
Implement CMS Interoperability and Patient Access Final Rule (CMS-9115-F) for patient data access and exchange.
Comprehensive Data Conversion
Load five years of patient data using HiPaaS FHIR Data Converter with support for diverse data formats like HL7 and CCDA.
Advanced FHIR API Integration
Set up Patient Access, Provider, and Payer-to-Payer APIs using HL7 FHIR standards like Da Vinci, PDex IG.
Simplified Claims Adjudication
Efficiently process claims with integrated solutions compatible with major EHRs like Athena and Cerner.
Enhanced Data Security
Ensure secure member access with OAuth 2.0 and robust consent management for third-party apps.
Flexible Integration
Integrate seamlessly with platforms like Pega, QNXT, Facets, and HealthRules for streamlined workflows.
One Solution, Infinite Possibilities!
Implement CMS Interoperability, Prior Authorization, and Payer-to-Payer Integration.
FHIR API Server
FHIR API Server included to enable FHIR data access.
Clinical Data Repository
Coverts your Lab, Observation, Condition data, etc into valid FHIR format.
Data Conversion
Converts any data format i.e. CSV, PDF, XML, HL7, CCDA, JSON and Flat File data to valid FHIR Format.
EHR Data Migration
Convert legacy data into FHIR for migration to modern systems like Epic.
EHR Integration
FHIRFlo streamlines EHR integration, enhancing healthcare interoperability effortlessly.
Insights & Updates
HiPaaS Partners with Advanced Abilities to Transform Philippine Healthcare
HiPaaS is excited to announce a joint venture with Philippines-based Advanced Abilities. Together, we’ll tackle Universal Health Care by developing a central health repository to store and manage comprehensive healthcare data, ensuring seamless access for providers.
HiPaaS Healthcare AI Conference: Transforming Healthcare with AI
In November 2024, we brought together industry leaders, innovators, and AI experts to explore the future of healthcare and AI-driven solutions. Don’t miss out—mark your calendars for the next HiPaaS Healthcare AI Conference in February 2025!
Testimonials
Converted 54M Patient Data
"An important part of the HiPaaS value proposition is the customer’s ability to integrate and compare proprietary data with over 54 million rows of longitudinal health records. Since the original patient data were not in FHIR format, we leveraged the HiPaaS FHIR data converter to convert and load to FHIR repository"
Converted Tera Bytes of Claims and Clinical Data
"HiPaaS's FHiRFlo solution seamlessly converted terabytes of claims and clinical data into FHIR-compliant formats, ensuring accuracy, compliance, and enhanced interoperability. This transformation streamlined our operations, enabling seamless data exchange and driving better outcomes. Highly recommend FHiRFlo for modernizing healthcare data systems with precision and scalability!"
How to Get Started with FHIRFlo
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Tel: +1 408-372-4313