Interoperability Mandates
Navigating health data exchange regulations independently can be challenging
With healthcare data exchange regulations constantly shifting, it’s tough to keep pace. That’s why you need a trusted partner—one who understands the landscape, shares best practices, and provides an API-enabled FHIR-native solution designed to scale and adapt over time.
Interoperability Compliance
CMS-9115-F
Patient Access API
Provider Directory API
Payer To Payer API
Formulary API
CMS-0057-F
Provider Access API
Prior Auth Burden Reduction
CMS-9915-F
Transparency in Coverage
Case Study
Meeting CMS regulatory rules and state-specific requirements
Opala enabled a pharmacy benefit manager to achieve CMS compliance and meet state regulatory requirements for health data exchange. Through our partnership, Navitus complies with existing regulations, while also achieving ROI from interoperability investments. With our FHIR and interoperability mandate expertise, Opala delivered an end-to-end compliance solution in less than 90 days.
