Edifecs Solution Addresses New CMS Prior Authorization and Interoperability Mandate
The two-time Best in KLAS award winning Edifecs interoperability solution includes its EDI and FHIR Gateways, which have been enhanced to address the provisions in the new Rule, including Prior Authorization and Provider Access APIs.
- The two-time Best in KLAS award winning Edifecs interoperability solution includes its EDI and FHIR Gateways, which have been enhanced to address the provisions in the new Rule, including Prior Authorization and Provider Access APIs.
- In anticipation of the final rule, Edifecs has worked with customers, including a large regional Blues organization, to build a robust interoperability solution that expedites prior authorization, alleviating much of the manual effort and administrative burden.
- The rule mandates the adoption of electronic prior authorization processes using a Prior Authorization API.
- “The potential benefits of the Prior Authorization and Interoperability mandate extend beyond what CMS projects – increased efficiency, burden reduction, and patient empowerment,” stated Chris Lance, chief product officer, Edifecs.