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CMS prior authorization rule finally crosses the finish line

Redox

More time to comply with API requirements The finalized rule requires that both payers and providers update or implement a variety of HL7® Fast Healthcare Interoperability Resources (FHIR®) APIs. In other words, Prior Authorization APIs will be compliant if they use FHIR and X12, or purely FHIR. X12 to FHIR) or small (e.g.

FHIR 59
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California says goodbye to fax machines. Hello to DxF.

Redox

Small physician practices, rehabilitation hospitals, long-term acute care hospitals, acute psychiatric hospitals, small rural acute care hospitals, and nonprofit clinics will have until January 2026. Of note, the XCPD, XCA, and XDR profiles do not currently support FHIR natively.

HIE 59