The cmspriorauth.com eight-question RFP framework has become the practical test for whether a FHIR vendor can carry a health plan through CMS-0057-F. The framework is not vendor-specific; it works for both renewal evaluation and fresh RF...
Cms Compliance
Top 6 Compliance Reporting Solutions for CMS Annual API Metrics
CMS-0057-F adds two reporting obligations on top of the API technical requirements. Annual API usage metrics (unique patients transferred, unique patients with repeat transfers) are due each March 31. Public PA reporting metrics (approva...
Prior Authorization
Top 5 Da Vinci PAS Implementation Tools for 2026
The Da Vinci PAS implementation guide has been around since 2021, but 2026 is when health plans are actually shipping it, not just demoing it. With the CMS-0057-F production deadline at January 1, 2027, vendor selection is happening fast...
Payer Interoperability
The Complete Guide to CMS-0057-F APIs for Health Plans in 2026
CMS-0057-F is not one API. It is four FHIR APIs, plus an ePA stack, plus reporting metrics, plus a renewal moment that catches most US health plans by surprise. The deadline is January 1, 2027, for production traffic across all four endp...
Prior Authorization
Da Vinci PAS vs Legacy X12 278: How to Choose for CMS-0057-F
CMS-0057-F added Da Vinci PAS as a required Prior Authorization API, but it did not retire X12 278 / 275. Both will live side by side inside US health plans through 2027 and beyond. The strategic question for a payer in 2026 is not "FHIR...
Payer Interoperability
Best Provider Access API Solutions with Bulk Data Export
The Provider Access API is the most operationally heavy of the four CMS-0057-F APIs because it combines FHIR Bulk Data Access with payer-maintained attribution. In-network providers retrieve member data without per-request consent, throu...
Cms Compliance
Best FHIR Platforms for Health Plans Behind Schedule on CMS-0057-F
The WEDI February 2026 survey showed that 35 percent of US health plans are at 25 percent or less complete on the Patient Access API alone, and that is the easiest of the four CMS-0057-F APIs. For Provider Access, Payer-to-Payer, and Pri...
Prior Authorization
5 FHIR Subscription Engines for Real-Time Prior Auth Decisions
CMS-0057-F requires that Prior Authorization decisions reach the Patient Access API within one business day of the determination. In practice, "within one business day" is implemented as "near-real-time" via FHIR Subscriptions, because b...
Medical form builder
MedicationRequest Handling in FHIR: 5 Patterns for E-Prescribing in 2026
E-prescribing on FHIR looks straightforward on paper — pick a MedicationRequest resource, populate the ingredient, quantity, and prescriber, POST it to your FHIR server. In production, five patterns handle the […]
Ehr development
FHIR API Integration Patterns: 4 Anti-Patterns That Break Production Pipelines
FHIR API integration reads well in demos and breaks quietly in production. The anti-patterns below show up in almost every real integration, and understanding why they fail is the difference […]