Interoperability

Part of a set of Prior Authorization APIs allowing providers to transmit solicited or unsolicited documents to payers using FHIR.

Part of a set of Da Vinci's Prior Authorization API's allowing providers to submit fhir based prior authorizations to payers, referenced by CMS mandate 0057-f

Part of a set of Da Vinci's Prior Authorization API's allowing providers and Payers to interact using questionnaires, referenced by CMS mandate 0057-f

Part of a set of Da Vinci's Prior Authorization APIs allowing providers and interact using CDS Hooks at the point of care, referenced by CMS mandate 0057-f

The Provider Access is a bulk API referenced as part of the CMS mandate 0057-F, the Interoperability and Prior Authorization Final Rule

The Payer to Payer bulk API is based on the CMS 9115-F (single-member API) and is part of CMS 0057-F (bulk Payer Data Exchange.

The Provider Directory is mandated by CMS 9115-F (Patient Access Rule) for payers. The solution is based on Da Vincis Plan-Net Implementation Guide

The formulary api is a requirement part of the CMS Mandate 9115-F (Patient Access Rule – Drug Formulary API requirement)

The Patient Access API is required by CMS 9115-F (Patient Access Rule) and CMS 0057-F (Interoperability & Prior Authorization Rule

Secure, standards-based referral exchange using DirectTrust and IHE 360X, delivering acknowledgments, status updates, and documents across organizations.

Modern alternative to fax, replaces fax workflows with DirectTrust and IHE 360X messaging for standards-based referral tracking and closed-loop confirmation.

Feeds the EMR’s provider directory into Salesforce and other CRMs so referral teams, outreach, and enterprise teams share the same fax and Direct addresses.

Care team relationship service that links patients to practitioners, caregivers, and programs using FHIR CareTeam, backed by the enterprise PDM directory.

Enterprise provider directory using FHIR and IHE mCSD to expose practitioners, locations, services, and for find-care, referrals, and coordination.

Shared vocabulary and code normalization service for SNOMED, LOINC, RxNorm, UCUM, and local codes, with FHIR-based lookup, validation, and translation.

Shared API and services layer that shields EMRs and core systems from point-to-point integrations while serving CMS, CRM, and digital experience platforms.

Payer-focused provider directory built on Da Vinci Plan-Net to keep networks, locations, and plan participation in sync with providers and digital experiences.

Cross-organization identity matching service that links provider, payer, and network member identities using secure, standards-based exchange.

Maintains a unified, event-driven patient registry that synchronizes demographics, system-of-record flags, and HIPAA consent artifacts across connected systems.

EMPI utility for detecting, reviewing, and resolving suspected duplicate or overlaid patient records using scoring and safe, auditable merges.

Unified enterprise console for managing patient identity across systems, search, match, link, and reconcile records with full auditability and rollback.

Lifecycle governance tool that enforces retention policies, flags expiring content for review, executes approved purges.

Console that manages incoming scanned, faxed, or emailed documents, extracting metadata and routing each file to the correct document type and encounter.

Identifies and consolidates duplicate or misfiled scanned documents using OCR and metadata similarity scoring.

Workflow for managing patient-initiated amendments and provider-approved record corrections with full provenance, policy alignment, and audit visibility.

Management of Release of Information requests with intake, validation, fulfillment tracking, and auditable proof of disclosure for HIPAA compliance.

Provide governance, conformance validation, and secure data exchange capabilities to support participation in TEFCA and network-to-network interoperability.

Centralizes the creation, transmission, and tracking of clinical document packets exchanged with payers, integrating C-CDA, notes, and images.

Provides a centralized, time-stamped record of every payer interaction, calls, faxes, uploads, and portal submissions.

Centralized workspace for managing real-time payer reviews, integrating timelines, clinical criteria, and communication logs.

Centralizes the scheduling and tracking of transportation, interpreter, and auxiliary services essential for safe and timely discharge.

Synchronizes external care management plans, notes, and tasks with the EMR plan of care, eliminating duplicate documentation.

Command center for managing prior authorization and concurrent review workflows, tracking submissions, responses, attachments, and expirations.

Closes the referral loop by ensuring consult notes, imaging results, and attachments return to the originating chart.

Automates referral status transitions and notifications across systems, ensuring consistent communication and visibility throughout the referral lifecycle.

Automates the assembly of a complete, standards-based clinical packet, including indications, prior results, and required forms.

Centralized tracking of prior authorization status, expirations, and required attachments, ensuring services stay compliant, billable, and on schedule.

Performs automated coverage verification and validation before scheduling or clinical review, preventing denials, cancellations, and patient delays.

Connects care coordination and referral management systems for seamless, closed-loop handoffs and shared accountability.

Secure, task-aware messaging workspace that connects care teams, community partners, and payers across the continuum.

Connects patients to community resources by capturing SDOH screenings, routing referrals, and tracking outcomes across partners.

Keeps eyes on every patient as they move between inpatient, outpatient, and post-acute settings, ensuring follow-up, continuity, and fewer readmissions.