Every major CMS interoperability rule — CMS-9115-F and CMS-0057-F — implemented in production with full audit readiness and HIPAA compliance posture.
Full CMS-9115-F implementation delivered three days ahead of the CMS enforcement date — Patient Access API, Provider Directory API, and Payer-to-Payer API covering 64,300 members and 4.7M FHIR resources.
CMS-0057-F Prior Authorization API implemented across a multi-agency environment requiring coordination across state and federal stakeholders — full Da Vinci PAS with decision transparency and audit trail.
Seven Medicaid implementations with zero missed CMS deadlines — building institutional knowledge of state-specific data governance, multi-agency coordination, and beneficiary data sovereignty.
Full R4 specification — the current required CMS standard. JSON and XML, all core resource types, US Core profiles.
Delivered 3.1.1 → 6.1.0 upgrade in production — onboarding 340+ third-party apps without disruption.
Consumer-directed exchange of payer-held claims and EOB data for member-facing applications.
PDex for payer data exchange, PAS for prior authorization — implemented in production across multiple deployments.
OAuth 2.0/PKCE authorization. 31 apps live, 38M API calls/month, granular scope enforcement per app.
Async bulk export and import for population-level exchange — powering P2P transfer and analytics pipelines.
AES-256 at rest via AWS KMS, TLS 1.3 in transit. No PHI in unencrypted channels at any layer of the stack.
Role-based access control with MFA for all platform access. SMART on FHIR OAuth 2.0/PKCE for third-party apps. Least privilege enforced at every tier.
Continuous monitoring with automated anomaly detection. Every FHIR call traced end-to-end. 56-minute P1 MTTR with 24/7 SRE on-call coverage.
Tamper-evident audit logs for every data access, API call, and system change. Structured for CMS audit readiness and exportable for federal compliance reporting.
We'll walk through your regulatory obligations and show you exactly how FHIRFabric addresses them.