CMS Interoperability Seamless Continuity of Care for New Members Through Payer-to-Payer Exchange
AI Summary
This video explains the payer-to-payer data access API, which facilitates seamless health information exchange between different health insurance providers. The process is illustrated through the example of John, who switches from Kind Cover Health to United Care Health after relocating. Key steps include enrollment, identity verification, data request and export, and integration of health data into new systems, ensuring continuity of care and compliance with CMS regulation CMS0057F. The video showcases how WSO2’s accelerator for healthcare supports these processes, enabling rapid implementation of fire-based APIs and fostering a well-connected healthcare ecosystem.