The payer API era is coming.Arrive ready.
CMS-0057-F puts FHIR-based prior-authorization and data-exchange APIs on the calendar — with compliance dates around January 2027. The facilities that prepare now will trade phone-and-fax authorization loops for electronic decisions on deadlines payers are required to meet. We build that readiness.
Built for teams like yours
- Operators who want prior-authorization APIs working for them the day payers switch them on
- Organizations asked by partners or payers for FHIR-based data exchange
- Teams unsure whether their data practices hold up under information-blocking rules
- Facilities connecting to health information exchanges or referral networks
Independent by design
This service stands on its own — no CareDocs.ai product purchase required. We add the interfaces and readiness your systems need; what changes is scoped with you, and nothing is ripped out.
Concrete outcomes, not slide decks
CMS-0057-F readiness assessment
Where you stand against the rule’s timeline, what to build, and in what order — in plain language.
FHIR data exchange
Clinical data mapped to standard FHIR resources and exchanged with payers, HIEs, and partners.
EHR & system integrations
Working connections into and out of the systems you run today, including PointClickCare.
Information-blocking posture
Practices and documentation aligned with ONC rules — so openness is provable, not assumed.
Discover → Pilot → Deploy → Operate
Discover
We map your systems, exchange partners, and regulatory exposure.
Pilot
The first working interface on your highest-value exchange.
Deploy
Interfaces hardened, monitored, and documented.
Operate
We maintain the connections as payer APIs evolve — or train your team to.
Frequently asked questions
What is CMS-0057-F and why does it matter to us?
The CMS Interoperability and Prior Authorization final rule requires impacted payers to expose FHIR-based APIs — for prior authorization, patient access, and provider access — with API compliance dates arriving around January 2027. Its decision-timeframe requirements (72 hours expedited, seven calendar days standard) began taking effect in 2026 — and providers who consume the APIs track those decisions electronically instead of by phone and fax.
We are a facility, not a payer. What do we actually need to do?
Be ready to benefit: connect your systems to payer APIs as they come online, exchange clinical data as FHIR resources, and make sure your own data practices don’t constitute information blocking under the ONC rules.
Can you connect our existing systems, or only CareDocs.ai products?
Any system with an interface — this service is product-independent. We build on your existing EHR and business systems, including PointClickCare environments.
What does an engagement produce concretely?
A readiness assessment against the rule’s timeline, working FHIR interfaces for the exchanges that matter to you, and documentation your compliance team can stand behind.
Know where you stand in two weeks.
Start with a readiness assessment — concrete, prioritized, in plain language.