We align, build, and manage innovative, high-quality, cost-effective solutions that help customers achieve their mission, enhance business performance, reduce costs, and improve the health for over 50 million Americans.

CNSI Interoperability Solution

Unparalleled expertise in payer data to help you meet CMS rule requirements and empower patients

The Innovative Solution Breaking Down Healthcare Barriers

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.

Breaking Barriers
Press Releases

The CNSI 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.

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Improve Patient Experience

Retrieve and present longitudinal individual health records based on payer claims and demographics

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Enable Efficient Access

Provide secure access to payer claims data for any third-party app

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Rapid Implementation

Leverage pre-built solution components to meet the mandated CMS timelines

Accelerating Access To Health Data

Improving Patient Outcomes and Customer Experience

Our 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.

How we Enable Access to data

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

CMS Patient Access API Requirements

Technology Used to Facilitate

CNSI Interoperability Solution

Implementation Guide (IG)
Claims and Encounter Data
  • Explanation of Benefits (EOB)
  • Enrollee identifiers
  • Dates of service
  • Payment information
  • Enrollee cost-sharing
  • Provider remittances

CARIN Alliance Blue Button® IG and Common Payer Consumer Data Set (CPCDS)

Technical Standards
  • Patient Access API
  • Authentication and authorization

FHIR Server leveraging HL7® FHIR® Release 4.0.1 and SMART on FHIR

Content Standards
  • Vocabulary
  • Terminology
  • Standardized patient data

FHIR Ready Payer Data Repository (FPDR) leveraging USCDI, CPCDS & HIPAA EDI


Providing the FHIR® Expertise You Need

Leveraging Over 25 Years’ Experience Processing Health Claims

CNSI 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. CNSI 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.


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Schedule a Discussion

We’re excited to learn more about your interoperability needs. Please share your name, email and any questions you may have, and we’ll connect you with one of our experts.

    Frequently Asked Questions

    Get the Answers You Need About Interoperability

    FAQ Graphic
    What is the CMS Interoperability and Patient Access Rule? +
    Who is affected? +
    When will the final rule be enforced?+

    Schedule a Discussion

    We’re excited to learn more about your interoperability needs. Please share your name, email and any questions you may have, and we’ll connect you with one of our experts.