1upHealth Offers CMS-0057 Compliant Solutions for Existing FHIR Infrastructure
1up Gateway - 1upHealth
Summary
1upHealth provides the '1up Gateway,' a service that achieves full compliance with CMS-0057 while maintaining existing FHIR infrastructure. This allows healthcare plans to meet regulatory requirements without overhauling their data foundation.
Details
This solution is designed for healthcare plans that have already built their own FHIR data platform but require assistance with CMS-0057 compliance, network connectivity, and operational management. The '1up Gateway' operates as an external-facing API layer placed in front of the existing internal systems (data store). This allows the gateway to manage all inbound and outbound API traffic while leaving the underlying data storage and management unchanged. The core functionalities include managing network access and onboarding for all CMS-0057 APIs (including external payers, providers, etc.), handling compliance reporting and auditing logs, and managing standards-based workflows such as Electronic Prior Authorization and Patient Access. This enables healthcare plans to continuously meet complex regulatory requirements without needing a full system replacement.
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