Month: January 2022

Analysis of top 50 payers’ Provider Directory APIs

In our previous post, we reviewed aggregate statistics on payers publishing provider directory APIs in the first six months of enforcement of the CMS Final Rule. In this post, we will look in more detail at the top 50 payers and understand and compare their processes around API access, registration (if required), issue reporting, and …

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Payer Compliance: Provider Directory APIs in the first six months since CMS Final Rule enforcement

The CMS Final Rule on Interoperability and Patient Access requires payers to publish provider directory APIs and has been enforceable since July 1, 2021. CMS issued the rule to increase provider network transparency and to encourage third-party developers to leverage machine-readable provider network data from payers to develop new experiences around in-network provider search, health …

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