Systems | Development | Analytics | API | Testing

Be “Day 0 Ready” with our Pixel 10 Series Testing — eliminate coverage gaps and stay ahead of your users.

Be “Day 0 Ready” with our Pixel 10 Series Testing — eliminate coverage gaps and stay ahead of your users.

The healthcare industry is buzzing about FHIR (Fast Healthcare Interoperability Resources). Pronounced “fire,” this widely adopted data standard has been revolutionizing how healthcare information is exchanged. But building a truly modern, secure, and scalable digital health platform takes more than just a data standard. Here comes SMART on FHIR, a framework that builds on FHIR to create a universal, secure, and user-friendly way for applications to access electronic health records(EHRs).

At 2:30 AM, Dr. Sarah Chen’s phone rang with the call every healthcare worker dreads: a data breach at her small dermatology clinic. Over 1,200 patient records were exposed. The worst part? The breach could have been prevented using simple HIPAA safeguards. These stories occur hundreds of times each year in various healthcare organizations. And in 2025, the stakes are even higher.

Telemedicine app development is a trend that has taken the digital healthcare world by storm! And, we’re not joking about this because it’s the reality of today, tomorrow, and beyond the healthcare industry! So, what do you imagine when you think of telemedicine in general? A consultation app? Possibly some kind of a tidbit related to new offers or something like that? However, we can assure you that there is so much more to telemedicine than meets the eye.

In certain sectors, such as healthcare data is not just valuable—it's SACRED. The same goes for data analytics in the healthcare sector, where the stakes are incredibly high. Healthcare data analytics consists of the systematic analysis of any health-related data that can be used not only to improve patient care, but also to find a way to improve healthcare ops and make informed decisions based on the analysis of said data.

CMS-0057-F is a set of regulations introduced by the Centers for Medicare & Medicaid Services (CMS), a division of the U.S. Department of Health and Human Services (HHS). It was created to address the urgent need for better interoperability across the healthcare ecosystem in the U.S. For a deeper understanding of this regulation, we encourage you to read Enhancing Interoperability and Streamlining Prior Authorization: A Look into CMS-0057-F.

The Provider Access API enables seamless access to patient health data for providers who have both a contractual relationship with the payer and a treatment relationship with the patient. Under the CMS-0057-F Final Rule, impacted payers are required to make the following data available through this API: claims, encounters, and prior authorization information similar to what is shared via the Patient Access API.

The Payer-to-Payer Data Access API enables seamless health information exchange between current and previous/concurrent health plans when a member transitions coverage. Mandated under CMS Rule CMF 0057-F, impacted payers must implement and maintain a FHIR-based API that supports secure transmission of claims, encounter data, USCDI elements, and prior authorization information (excluding provider remittances and patient cost-sharing details).

The Patient Access API, introduced under CMS-9115-F, requires health plans, including Medicare Advantage, Medicaid, the Children’s Health Insurance Program (CHIP), and the Qualified Health Plan (QHP) on federally facilitated exchanges to give patients secure, real-time access to their health data via standardized APIs.