Topic outline

• Simplifying Prior Authorization and Data Exchange with InterSystems Payer Services

  Simplifying Prior Authorization and Data Exchange with InterSystems Payer Services

  Content Type
  Video

  Duration
  6m

  Level
  Introductory

  See how InterSystems Payer Services enables efficient data exchange, reduces administrative burden, and improves care coordination. Payer Services is a flexible, future-ready platform that helps health plans streamline electronic prior authorization and meet CMS-0057 requirements, with modular HL7® FHIR®-based components and APIs including Payer-to-Payer, Provider Access, and Patient Access.

  Click Details to see a graphic that shows the flow of data in InterSystems Payer Services. Data coming from payer data sources, including clinical, claims, and pharmacy benefit data, is ingested in the FHIR data foundation. This data is then exposed through secure FHIR APIs to meet CMS data exchange use cases, making critical data available to members, providers, and other payers.

  

  
  
• What's Next?

  What's Next?
  • Continue learning the essentials of InterSystems Payer Services (program, 26h).
  • Get a copy of the InterSystems Payer Services white paper (1h).
  • Reference the InterSystems Payer Services fact sheet (20m).
  • Read more about the implementation of InterSystems Payer Services (documentation, 20m).