HiPaaS CMS Interoperabilility Capabilities
Convert and load 5 years of Patient Data for Medicare Advantage (MA), Medicaid, Children's Health Insurance Program (CHIP), and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs).
Enable all required APIs for CMS Interoperability
Integrated with AWS Healthlake
Convert Faster with pre-built FHIR templates
Point and start mapping to FHIR resources
With HiPaaS Platform, map CSV data to FHIR resources. You can configure data validations, conversions and business rules for mapping.
Add Validation and Conversion Rules
Add various input data validation rules and data cleansing , or conversion rules via simple configuration. Apply the rules to entire map or at field level
Security, API Gateway and 3rd Party On boarding
Onboard multiple 3rd Party apps with approval and Client ID security. Already tested with leading apps like 1UPHealth and more. Quick on boarding and testing of new apps
Member security implemented with integration with existing Member Portal or any other security product including SAML
CMS Interoperability Features
CMS Interoperability and Patient Access Final Rule (CMS-9115-F)
Convert and load 5 years of Patient Data for Medicare Advantage (MA), Medicaid, Children's Health Insurance Program (CHIP), and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs).
Payer-to-Payer API
Enable Da Vinci Payer Data Exchange
Prior Authorization Support (PAS) API
Enable HL7 FHIR Da Vinci - PAS IG
Bulk Data Load
Enable HL7 FHIR Bulk Data Access(Flat FHIR) Specification
Pre-built CMS Mappings
Prebuilt CMS required mappings to convert CSV to FHIR. Plug and Play approach
Patient Access API
Enable CARIN Consumer Directed Payer Data Exchange IG (also referred to as the CARIN IG for Blue Button®) • HL7 FHIR Da Vinci PDex IG • HL7 US Core IG • HL7 FHIR Da Vinci - PDex US Drug Formulary IG
Provider Directory API
Enable HL7 FHIR Da Vinci PDex Plan Net IG
CMS Documentation
Documentation Requirements Lookup Service API - HL7 FHIR Da Vinci - Coverage Requirements Discovery (CRD) IG, HL7 FHIR Da Vinci - Documentation Templates and Rules (DTR) IG
OAuth Authentication & Member Portal SSO
Oauth 2.0, Authenticate with LDAP or SSO. Authenticate with Member Portal