Payer integration
Eligibility, benefits & prior auth
X12 270/271/278 today; CMS-0057-F FHIR APIs (Da Vinci PAS / CRD / DTR) live for impacted payers Jan 1, 2027. Tested against ONC Inferno.
Eligibility checks 30d
6,402
270/271 + Patient Access FHIR
PA submissions 30d
184
42 via Da Vinci PAS
Median PA turnaround
3h 48m
↓ from 4.2 days on X12
Auto-approved
61%
DTR questionnaire complete
Eligibility · today's schedule
| Patient | Payer | Plan | Copay | Network | Status |
|---|---|---|---|---|---|
| Maya Okafor | Blue Cross TX | PPO 2026 | $30 | in-network | active |
| James Rivera | Aetna | HMO Choice | $15 | in-network | active |
| Dana Kim | Humana Medicare | Advantage HMO | $0 | in-network | active |
| Sara Lopez | UnitedHealth | Choice Plus | — | — | 271 pending |
Prior authorization
- MRI L-spine (CPT 72148)James Rivera · Aetna4h 12mapproved
- Dupixent 300mg (J3590)Maya Okafor · Blue Cross TXin review · 6hpending
- Sleep study (CPT 95810)Dana Kim · Humana2d · appealabledenied
- PT · 12 visits (CPT 97110)Sara Lopez · UnitedHealth1h 40mapproved