VettedRx

Overview

Itiliti Health provides FHIR-native electronic prior authorization infrastructure for health plans, implementing the CMS-0057-F required CRD, DTR, and PAS transactions along with PA requirement lookup and automation tools that reduce administrative burden.

Notable

Enabled a large regional Blues plan to go live with all three CMS-0057 ePA transactions, described as the first full CMS-0057 compliance at scale; OnyxOS partnership.

Key services

  • FHIR CRD/DTR/PAS implementation
  • CMS-0057-F compliance
  • PA requirement transparency
  • payer PA workflow automation

Subcategories

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