Connect once with Availity's Connectivity Hub
The now-finalized Interoperability and Prior Authorization Final Rule (CMS-0057-F) requires impacted payers to implement and maintain Payer-to-Payer application programming interfaces (APIs) to exchange clinical, claims, and authorization data when a member moves between payers by January 1, 2027.
Forward-thinking health plans, committed to gaining advantages and enhancing health outcomes, can look to Availity to enable their efforts to establish secure connections with other health plans for mandatory compliance.
Availity knows that establishing connections is easier said than done. One health plan shared it took six to eight individuals approximately six months to establish just one connection with another payer, and they anticipate similar efforts for each following connection.
Given the final rule's requirements, extensive collaboration, and potential increased effort for multiple connections, pursuing this task without an experienced partner will be challenging. Availity has the experience and expertise to guide health plans to mandate compliance and beyond.
Availity's Payer-to-Payer Hub is a centralized, one-to-many connection point exclusively designed for health plans.
Download our eBook to learn about:
Critical facets of the payer-to-payer data exchange requirement
Questions to assess your health plan's readiness for payer-to-payer data exchange
Key characteristics for choosing a centralized, one-to-many connection point vendor
Ways your health plan can go beyond mandatory compliance to unleash innovation
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Availity is the place where healthcare finds the answers needed to shift focus back to patient care. By solving the communication challenges between healthcare stakeholders, Availity creates a richer, more transparent exchange of information among health plans, providers, and technology partners. As the nation’s largest health information network, Availity facilitates over 4 billion clinical, administrative, and financial transactions annually. The company’s suite of dynamic products, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment