CMS aims to deliver on the promise of
interoperability with the release of the
Interoperability and Patient Access final rule
(CMS 9115-F). To help the payers meet the CMS
mandate, Acentra's Interoperability Solution
enables secure Patient Access API and Provider
Directory API to facilitate the movement of data
from payer systems (Producers) to the patients
(Consumers) accessible via third-party consumer
apps.
The Interoperability Solution leverages CARIN
Common Payer Consumer Dataset (CPCDS) as
anchors, in conjunction with data exchange
standards, such as HL7® FHIR®, United States
Core Data and Interoperability (USCDI) and CMS
recommended implementation guides (IGs) such as
CARIN IG for Blue Button® (C4BB) and HL7® Da
Vinci PDEX Plan Net.
Sandbox Environment
Sandbox environment provides synthetic but reliable
dataset for Claims and Encounters and Provider
Directory to facilitate testing Patient Access API
and Provider Directory API respectively. The sandbox
dataset is representative of real data and ensures
consistency across the dataset.
FHIR® APIs available to developers
| API | Implementation Guide | Version |
|---|---|---|
| Patient Access API | CARIN IG for Blue Button® (C4BB) | V 1.2.0 (STU 2) |
| Patient Access API | DaVinci Payer Data Exchange (PDex) US Drug Formulary | V 1.1.0 (STU 1.1) |
| Provider Directory API | HL7® Da Vinci PDEX Plan Net | V 1.1.0 (STU 1) |
Important information for Application Owners
| CARIN Alliance Code of Conduct | https://www.carinalliance.com/our-work/trust-frameworkand-code-of-conduct/ |
| Privacy, Security and HIPAA | https://www.healthit.gov/topic/privacy-security-and-hipaa |
| ONC Model Privacy Notice | https://www.healthit.gov/topic/privacy-security-and-hipaa/model-privacy-notice-mpn |