Achieve CMS Interoperability Fast

Ensure compliance with CMS regulations 0057-F and 9115-F by the January 1, 2027 deadline using pre-built templates. Streamline your systems to meet CMS interoperability standards quickly and efficiently, and enable seamless data sharing across payers, providers, and patients.

CMS-0057-F requires more than compliance-only tools

Beyond data exposure, CMS-0057-F mandates automated prior authorization, strict SLAs, and payer-to-payer exchange. These requirements outpace compliance-only FHIR® servers or point solutions. Success demands a production-grade interoperability platform engineered to operationalize regulated workflows at enterprise scale, providing a robust foundation for
future AI-driven automation.

Expose

Securely publish any API to partners and apps.

  • Manage APIs across multiple environments and gateways with ease.
  • Understand usage, adoption, and performance to optimize business impact.
  • Manage LLMs, AI agents, and traditional APIs from one control plane.
  • Avoid vendor lock-in and extend capabilities using open standards.
  • Enforce fine-grained policies, rate limits, and AI guardrails.
Outcome

SLA-enforced, observable API execution.

Connect

Rapidly connect EMRs, payers, and digital apps.

  • AI-assisted low-code development.
  • Seamless business and IT collaboration.
  • Connectivity across any protocol.
  • Simplified data mapping and transformation.
  • Build AI-powered applications.
  • Centralized monitoring and management.
Outcome

Faster execution with lower integration cost.

Control

Centralize identity, consent, and access control.

  • Build a custom B2C, B2B, or G2C solution that delivers a frictionless experience.
  • Secure, authorize, and govern AI agents and LLMs as first-class identities.
  • Reduce developer dependency with an AI-enabled, no-code Flow Builder.
  • Secure your APIs and microservices with centralized, policy-based access control.
Outcome

Secure, compliant access at scale.

Govern AI

Scale your GenAI services securely and responsibly.

  • Enforce safe, responsible AI use with built-in guardrails.
  • Protect sensitive data by masking personally identifiable information (PII).
  • Gain deep visibility into AI usage to track traffic patterns, oversee model performance.
  • Guarantee structured, valid outputs by enforcing schemas and regex patterns.
  • Govern costs and usage with token-based rate limiting and semantic caching.
Outcome

Compliant automation as AI scales.

CMS-0057-F compliance
at a glance

CMS-0057-F, the final rule titled "Advancing Interoperability and Improving Prior Authorization Processes," outlines several key requirements aimed at improving transparency and reducing administrative burden, particularly around prior authorization.

Key Provisions

Automate prior authorization workflows

Streamline approvals with the Prior Authorization API and integrated Clinical Decision Support (CDS) services. Payers must provide electronic access to prior authorization details for non-drug items and services, boosting efficiency while reducing administrative burden and delays.

What you need to do
What we provide
  • Enable Prior Authorization workflows via FHIR® and CDS Hooks.
  • Support SMART on FHIR® apps for the Documentation Templates and Rules (DTR) flow.
  • Integrate X12 transactions with FHIR® (X12 ↔ FHIR® transformation support).
  • Ready-to-deploy FHIR® APIs for Prior Authorization workflows, enabling seamless integration and streamlining data exchange.
  • Built-in support for Clinical Decision Support (CDS) Hooks to implement decision-making flows for Prior Authorization.
  • Configurable authorization flows enable smooth integration of SMART apps to facilitate the Documentation Templates and Rules (DTR) workflow.
  • A powerful, pre-configured X12-to-FHIR® data mapper that simplifies the transformation between X12 transactions and FHIR®.

Seamlessly exchange member records among payers

When members switch Payers, the Payer-to-Payer Data Exchange API ensures secure, efficient exchange of patient health records, including claims, encounters, and prior authorization data, using the HL7 Da Vinci PDex Implementation Guide as mandated by the CMS 0057-F.

What you need to do
What we provide
  • Support member matching and consent processing.
  • Implement FHIR®-based bulk data export to share claims, USCDI, and prior authorization data.
  • Support OAuth 2.0 and the SMART on FHIR® specification.
  • A pre-built integration to handle member matching and consent processing, in alignment with the Da Vinci PDex implementation guidelines.
  • Ready-to-deploy FHIR® APIs designed for Payer-to-Payer data exchange workflows, fully compliant with the Da Vinci PDex Implementation Guide (IG).
  • Pre-built FHIR® bulk data export client and server based on the Da Vinci PDEX Implementation Guide (IG) to seamlessly share USCDI data with payer systems.
  • Configurable authorization flows enable smooth integration of SMART on FHIR® for Backend services authorization.

Empower patients with
real-time health data access

Enable patients to retrieve claims, encounter, coverage, and prior authorization data directly from their payers via the Patient Access API, mandated under CMS 0057-F and compliant with USCDI v3 and HL7 FHIR® R4.0.1. Prior authorization details (non-drug) must also be included and API usage metrics must be reported to CMS.

What you need to do
What we provide
  • Implement FHIR® R4 APIs for claims, coverage, encounters, and prior authorization data.
  • Support OAuth 2.0 and the SMART on FHIR® for third-party app access.
  • Capture and report API usage metrics to CMS.
  • Ready-to-deploy FHIR® R4 APIs for claims, coverage, encounters, and prior authorization data, simplifying the implementation of the Patient Access API.
  • Configurable authorization flows enable smooth integration of SMART on FHIR® for user-facing applications.
  • WSO2’s powerful API analytics capabilities, including observability and comprehensive metrics dashboards, to capture and report API usage metrics to CMS in full compliance with regulatory requirements.

Deliver up-to-date patient data directly to providers

Securely expose claims, encounter, and prior authorization data to providers via the Provider Access API. Built on FHIR® R4 and USCDI v3, it reduces administrative burden and supports informed, coordinated care under CMS 0057-F.

What you need to do
What we provide
  • Implement FHIR® R4 APIs for claims, coverage, encounters, and prior authorization data.

  • Implement FHIR®-based bulk data export to share USCDI data with provider systems.

  • Support OAuth 2.0 and the SMART Backend Services Authorization specification.

  • Ready-to-deploy FHIR® R4 APIs for claims, coverage, encounters, and prior authorization data, simplifying integration with payer systems.

  • Pre-built FHIR® bulk data export client and server based on the Da Vinci PDEX Implementation Guide (IG) to seamlessly share USCDI data with provider systems.

  • Configurable authorization flows enable smooth integration of SMART on FHIR® for Backend services authorization.

WSO2 Accelerator for Healthcare

The WSO2 Accelerator for Healthcare delivers a robust foundation for CMS-0057-F compliance by supporting all major data exchange workflows, including Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs. With a powerful reference implementation built on HL7® FHIR® standards, the accelerator simplifies deployment and minimizes compliance risk.

Pre-built FHIR® APIs

Ready-to-use reference implementation with FHIR® R4 APIs for Patient Access, Prior Authorization, and more, aligned with CMS-mandated implementation guides.

Seamless system integration

Pre-built connectors for EHRs, claims systems, and rule engines, supporting FHIR®, HL7® v2, CDA, and X12.

End-to-end compliance

Aligned with CMS-0057-F, HL7® FHIR®, US Core, and PDex, ensuring secure, standards-based data exchange from day one.

Rapid implementation

Accelerates development with reference implementations, allowing focus on vendor-specific customization.

Powerful data transformation

Pre-built mappers for converting FHIR®-based prior authorization into X12 278/275 formats, bridging modern APIs with legacy systems.

Flexible deployment

Lets you choose the deployment model that fits your current and future needs, whether on VMs, Docker, or Kubernetes.

Beyond the mandate: Build your interoperability future

True interoperability goes far beyond the CMS-0057-F mandate. The WSO2 Accelerator for Healthcare helps you seamlessly meet payer requirements while upgrading your infrastructure for the future. Bridge legacy systems with modern FHIR APIs, leverage AI-driven integration, and deploy anywhere with a platform built for long-term healthcare innovation. Explore how we help you drive third-party innovation, secure autonomous agents, and streamline operations.

Secure Identity Management

Manages user identities (CIAM) and Consent Management beyond CMS/ONC compliance.

API Management

Securely exposes APIs for third-party apps and Regulatory compliance.

Al Trust & Governance

Features an Al Gateway for traffic guardrails and Agent Identity for securing autonomous agents.

Third-Party Innovation

Pre-built connectors and connector generation features enable developers to build system integrations with ease.

Al-Driven Integration

Uses Al-assisted coding (Al for Code") to rapidly connect EMRs and streamline operations.

Powerful Data Transformation

Pre-built mappers convert well known formats to FHIR format, bridging modern APls with legacy systems.

Flexible Deployment

Deploy anywhere-VMs, Docker, Kubernetes, or WSO2 Devant (Al-native iPaaS).

Want to see how WSO2 supports CMS compliance?