SecureData

Empowering Patients. Informing Providers. Enabling Payers.

Interoperability in the health information ecosystem means greater safety and better outcomes for patients, along with a boost in efficiency and serious cost savings all around. With the release of The Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access final rule on March 9, 2020, CMS aims to deliver on the promise of interoperability.

The Innovative Solution Breaking Down Healthcare Barriers

Acentra Health’s Interoperability Solution helps payers meet rule requirements by sharing claims data via a secure API, while utilizing HL7® FHIR®, USCDI, and CARIN Blue Button® standards.

paitent-experience
Improve Patient Experience Quote: Retrieve and present longitudinal individual health records based on payer claims and demographics
implement-patient-1
Enable Efficient Access: Provide secure access to payer claims data for any third-party app
Rapid-Implementation-1
Rapid Implementation Quote: Leverage pre-built solution components to meet the mandated CMS timelines
securedata

Accelerating Access to Health Data

Improving Patient Outcomes and 
Customer Experience

Acentra Health’s approach builds on existing industry standards, leveraging HL7® FHIR® as a data standard to boost data accessibility among consumers and payers "without special effort" as defined in the 21st Century Cures Act.

The Acentra Health Interoperability Solution provides a comprehensive approach in meeting the rule requirements to create more meaningful data for consumers.

CMS Patient Access
API Requirements

Implementation Guide (IG)
 Claims and Encounter Data

  • Explanation of Benefits (EOB)
  • Enrollee identifiers
  • Dates of service
  • Payment information
  • Enrollee cost-sharing
  • Provider remittances

Technical Standards

  • Patient Access API
  • Authentication and authorization

Content Standards

  • Vocabulary
  • Terminology
  • Standardized patient data

Technology Used to
Facilitate

CARIN Alliance Blue Button® IG
 and Common Payer Consumer
 Data Set (CPCDS)
FHIR Server leveraging HL7® FHIR®
 Release 4.0.1 and SMART on FHIR
FHIR Ready Payer Data
 Repository (FPDR) leveraging
 USCDI, CPCDS & HIPAA EDI

Acentra
Health

CNSI Interoperability Solution Available

CNSI Interoperability Solution Available

CNSI Interoperability Solution Available

Providing the FHIR® Expertise You Need

Leveraging Over 25 Years’ Experience Processing Health Claims

Acentra Health continues to lead the health IT industry in delivering meaningful and transformative solutions to our customers. Our experienced team is an authority on developing and implementing interoperability solutions to improve the future of healthcare. As interoperability demands shift, we are translating our wealth of expertise to meet new HL7® FHIR® standards and requirements. Acentra Health pioneered modular, open-access, cloud-based platforms, which have helped states and the federal government expand coverage, reduce costs, operate more efficiently, and improve quality of care. Through our deep knowledge of Medicaid and other programs, we provide a trusted partnership with our clients to help them identify the right solution and adapt to their specific requirements and frequently changing regulations.

What Our Customers Say About Acentra Health

"The [Acentra Health] team has consistently provided fantastic service and support throughout numerous initiatives. Not only did they complete required tasks on time, they also proactively identified a business need and delivered new visualization data to help us better track encounter data submissions. [Acentra Health’s] commitment and dedication to the CMS mission is evident and much appreciated."

— Contract Office Representative, Centers for Medicare & Medicaid Services (CMS)

Get Started with Acentra Health

Connect with an expert from our team and learn more about how Acentra Health's solutions and services can benefit your organization.

Request a Demo
Contact Us