2027-ready
CMS-0057-F & FHIR PAS Readiness
The CMS Interoperability and Prior Authorization Final Rule mandates HL7 FHIR PAS APIs from impacted payers by January 1, 2027. Most EHRs are years behind. PreAuthIQ already speaks PAS today.
PA decisions
≤ 72h std / 24h urgent
CMS-mandated timelines
FHIR resources
Claim · ClaimResponse · Bundle
$Submit operation
Sandbox
Live endpoint
POST /api/public/fhir/pas/$Submit
What the rule actually requires
- Provider Access API — payers must expose patient data, including pending PAs, via FHIR.
- Prior Authorization API — automated submission via HL7 FHIR PAS IG (the
$Submitoperation). - Decision timelines — 72 hours standard, 24 hours urgent, with a public reporting requirement.
- Reason for denial — payers must return a specific, actionable denial reason.
Try the PAS sandbox
Our $Submit endpoint accepts a FHIR Claim bundle and returns a mock ClaimResponse. Hook it into your integration tests today.
POST /api/public/fhir/pas/$Submit
Content-Type: application/fhir+json
{ "resourceType": "Bundle", "type": "collection", "entry": [...] }