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Real-Time, Flexible Data Exchange

NEHEN’s HL7® FHIR® (Fast Healthcare Interoperability Resources) services* enable modern, real-time data exchange for healthcare organizations, integrating both clinical and administrative workflows. These services comply with evolving CMS mandates and enhance care coordination by providing direct, secure access to critical healthcare data.

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*FHIR® is a registered trademark of Health Level Seven International. Its use does not constitute endorsement by HL7.

Overview

FHIR® (Fast Healthcare Interoperability Resources) APIs enable healthcare data exchange that is faster, more flexible, and more secure than ever before. As the next step in healthcare interoperability, NEHEN’s FHIR® services help organizations move beyond traditional data-sharing methods to modern, real-time access to patient information and other essential data.

  • Simplifies and consolidates the infrastructure for clinical and administrative health information exchange in a multi-payer, multi-provider collaborative setting.
  • Brokered API transactions between payers and providers allowing for a single API connection.
  • Supports both current X12-based (HIPAA-mandated) EDI transactions and new FHIR®/API-based use cases, including electronic prior authorization (ePA), quality measures support, provider and patient access, and payer-to-payer exchange.
  • Supports prior authorization requirements in the Interoperability and Patient Access Final Rule (CMS-0057-F).
  • Optionally supports the Patient Access, Provider Access, Payer to Payer and Provider Directory API requirements under the CMS-0057 rule.
  • Operates under a community-wide governance model to guide future features and use cases, maximizing value for participants.

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Features

NEHEN’s FHIR® services are designed with flexibility in mind, offering several options to meet your organization’s unique needs:

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Benefits

  • Modern API Integration: Allows for faster data sharing across systems.
  • Scalability: Tailored to meet the needs of both small practices and large healthcare systems.
  • Compliance-Driven: Supports regulatory compliance, including CMS-9115F and CMS-0057F interoperability rules.

Status & Updates

  • Timeline: MHDC expects the initial implementation phase to start in Q3 2025.
  • Participation: MHDC is actively engaging with interested participants to be early adopters and ensure implementation prior to the Jan 1, 2027 CMS-0057 rule deadline.
  • Support: MHDC and ZeOmega will provide resources to help members successfully implement new NEHEN features with minimal disruption.
  • Dual Platform & Flexibility: Users can continue to leverage X12 EDI while gradually integrating FHIR®-based APIs into their workflows. NEHEN will be designed to support both existing data exchange processes and new, real-time FHIR® services, allowing for a customizable approach.
  • Initial FHIR® API Transactions

Onboarding Process - Payers & Providers

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Vendor Partner

NEHEN’s FHIR®-based services will be powered by ZeOmega’s Health Unity© platform, an industry leader in healthcare interoperability solutions.

 

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Get Started Today!

Explore NEHEN’s FHIR®-based services and find the solution that’s right for your organization. Contact Us below to discuss your needs and learn more about our flexible options.

 

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