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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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