Interoperability for Small-Midsized Plans

The CMS interoperability mandate on Medicare, Medicaid, CHIP, and ACA-Exchange plans requires such health plans to provide members’ claims and clinical data to smartphones, tablets, or web applications as directed by the member via open application programming interfaces (APIs) using the HL7 Fast Healthcare Interoperability Resources (FHIR) standards.

Using Business Process as a Service (BPaaS), we leverage the industry-leading technology of Edifecs with the experience and expertise of SS&C Health to offer a comprehensive solution tailored for small-midsized health plans. Our solution removes the barrier of steep capital investment in infrastructure, API development and deployment for cost-effective compliance with minimal IT impact.