Welcome to Acentra Health Interoperability Solution – Sandbox

CMS aims to deliver on the promise of interoperability through two key regulations: the Interoperability and Patient Access Rule (CMS-9115-F) and the Interoperability and Prior Authorization Final Rule (CMS-0057-F). To help payers meet CMS mandates, Acentra Health Interoperability Solution enables secure, standards-based APIs that facilitate the movement of data across the healthcare ecosystem—from payer systems (producers) to patients, EHR/EMR systems, and other payer systems (consumers)—accessible via third-party applications and clinical systems.

The solution supports Patient Access, Provider Directory, Provider Access, and Payer-to-Payer Data Exchange, and enables CMS-0057-F mandated workflows through HL7® Da Vinci APIs, including Coverage Requirements Discovery (CRD), Documentation Templates and Rules (DTR), Prior Authorization Support (PAS), and Clinical Data Exchange (CDex).

The Interoperability Solution leverages the CARIN Common Payer Consumer Dataset (CPCDS) as a foundation, along with industry-recognized standards such as HL7® FHIR®, the United States Core Data for Interoperability (USCDI), and CMS-recommended implementation guides (IGs). Together, these capabilities ensure compliance with CMS regulations while enabling scalable, secure, and interoperable data exchange across the healthcare continuum.