AWS HealthLake now supports CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) requirements
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This article announces AWS HealthLake's native support for CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) compliance, requiring healthcare payers to implement four standardized FHIR-based APIs by January 1, 2027.
- Patient Access API enables patients to access claims, encounter data, and prior authorization information
- Provider Access API shares patient data with in-network providers using standardized FHIR standards
- Payer-to-Payer API facilitates claims and encounter data exchange between payers with bulk member matching
- Prior Authorization API supports end-to-end electronic prior authorization workflows and metrics collection
- All APIs include consent management, secure authorization, and required metrics tracking capabilities
- Service available in seven AWS regions including US, Europe, and Asia Pacific
AWS HealthLake now provides comprehensive FHIR-based API support for healthcare payers to meet CMS-0057-F compliance requirements by the January 2027 deadline.
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