Firely for Payers – lower cost to serve and industry leading compliance
Firely’s tailored CMS Compliance solution helps Payers comply with CMS Interoperability and Prior Authorization obligations. Our comprehensive solution ensures full compliance with CMS-0057-F, offering all the required FHIR APIs to meet regulatory standards. At the core of our solution is the powerful Firely Server, enhanced with multiple scaling instances to future-proof your FHIR solution
Technical infrastructure
Building out the technical infrastructure
Implementing a compliant FHIR solution can be complex, but the benefits are substantial. It enables streamlined claims processing, reduces errors, cuts operating costs, and accelerates approvals. Firely’s expert team and comprehensive product suite can support you in building the technical infrastructure needed to achieve these outcomes.
Given the sensitive nature of healthcare data and the reputational risks involved, Payers place a strong emphasis on security. Firely Server provides robust protection, offering advanced encryption for data both at rest and in transit.
Our enhanced efficiency and interoperability streamline healthcare data exchange, reducing administrative burdens and accelerating workflows. Seamless FHIR integration enables better coordination between systems and stakeholders, improving care delivery, reducing errors, and ensuring data flows smoothly across the entire healthcare ecosystem.
Improving data accessibility, patient care continuity
The Payer-to-Payer API is designed to facilitate the secure and standardized exchange of healthcare data between payer. As a a key component of our Prior Authorization package, claims and encounter data is made available via performant APIs. After securely identifiying Patients, it enables health plans to exchange patient data when members move from one payer to another.
Ensuring that providers have timely access to critical data
Our Provider Access API offers a standardized FHIR interface that enables secure, real-time access to patient data held by payers. As part of Firely’s Prior Authorization package, it supports attribution list building and informed clinical decision-making.
Enabling more accurate, efficient, and interoperable provider information exchange
Our Provider Directories API enables standardized access to key provider data—names, specialties, contact details, and affiliations. As part of Firely’s Prior Authorization package, it supports Payer Networks, care coordination, and regulatory compliance through consistent, interoperable data exchange
13 years of experience as one of the initiators of FHIR
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