FhirPlug
CMS-0057-F Is Coming.
Are You Ready?
Get a focused CMS-0057-F Prior Authorization Readiness Assessment designed to evaluate your current technology, workflows, FHIR capabilities, utilization management integrations, and operational readiness. Understand where you stand, what needs to change, and what to prioritize before implementation deadlines put pressure on your organization.
The same request, two different Tuesdays.
What your intake and utilization teams feel from the first week live.
Secure deployment. Your data stays under your control.
Modern interoperability should not require health plans to compromise the security of PHI, utilization management logic, or proprietary data. Our architecture gives you maximum control over where sensitive data is processed, stored, and transmitted — so PHI and proprietary workflows remain inside your security perimeter.
Flexible deployment options
Customer-Hosted
Deploy within your existing on-premises infrastructure, fully behind your firewall.
Private Cloud
Run inside your own AWS, Azure, or Google Cloud environment.
Containerized
Deploy with Docker, Kubernetes, OpenShift, EKS, AKS, or GKE.
Private API Integration
Connect through secure gateways, VPNs, private endpoints, or dedicated links.
Hybrid Deployment
Keep sensitive processing inside your environment while selectively integrating outside.
Event-Driven Integration
Leverage event-driven architecture to publish workflow events necessary to initiate downstream processes.
Designed to minimize PHI exposure
Data-minimization strategies exchange only the information each workflow actually requires. Capabilities can include:
Secure, standards-based integration
Integrate with utilization management platforms, FHIR servers, clinical repositories, and enterprise systems using modern security controls:
Your infrastructure. Your security policies. Your data.
Maintain control of sensitive healthcare and proprietary information while still gaining the benefits of FHIR-based interoperability, workflow automation, and scalable integration. Modernize your prior authorization ecosystem without moving sensitive data outside your trusted environment.
Don't Just Track Compliance. Prove It.
Every submission, decision, and delivery is scored against CMS-0057-F in real time. Your compliance and utilization-management leaders see exactly where they stand — and where to act — long before an auditor ever asks.
- A single CMS-0057-F Compliance Score with an at-a-glance checklist
- Prior authorization performance and SLA compliance — 72-hour urgent, 7-day standard
- CMS API performance across PAS, CRD, DTR and CDex — uptime, response times, retries
- An audit-ready trail on every decision, letter, and delivery
Six modules. Pick what you need.
Built on an open FHIR API, so you can run the full workflow or plug in only the piece that's slowing you down today.
FHIR Orchestrator
The central hub that routes and translates FHIR R4 resources between payers, providers, and health systems.
Prior Authorization Connect
Automates Da Vinci PAS submissions and delivers decisions by fax, EMR Direct, or patient portal — whichever the payer needs.
Documentation Templates
Smart questionnaires that auto-populate from clinical data, cutting the documentation burden on your front-line staff.
Coverage Requirements Discovery
Checks coverage requirements at the point of order entry — before the denial happens, not after.
Clinical Data Exchange
Standardized, secure clinical data exchange between payers and providers using FHIR-based queries.
Operations & Compliance Dashboard
A live compliance score, PA performance, API health, and an audit-ready trail — the proof your payers need.
See your own workflow move this fast.
Fifteen minutes, your own use case, no slideware — we'll show it running against a live sandbox.
- Sandbox access same day
- FHIR R4 / Da Vinci PAS compliant from day one
- No PHI required to evaluate — business details only