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From Data Exchange to Decision-Making: Integrated Interoperability Platform and Prior Authorization Solution in Action for CMS-0057 Compliance, sponsored by Itiliti Health and 1upHealth

February 5, 2026 1:00 PM - 2:00 PM (EST)

Description

Meeting CMS-0057 requirements isn't just about implementing APIs, it's about connecting your entire technology ecosystem to enable seamless data exchange and automated decision-making. In this live demonstration, we'll show you exactly how an interoperability platform and prior authorization solution work together to facilitate compliant, automated workflows.


Join Keith Brick from Itiliti Health and Jeremy Yoon from 1upHealth as they walk through a real-world integration scenario, demonstrating how these two critical components connect to enable CRD, DTR, and PAS transactions. You'll see how data flows between payers and providers through FHIR APIs, how that data informs providers on prior authorization criteria, and where policy data fits into the technical architecture.


This session goes beyond theory to show you the actual integration points, data exchanges, and system interactions that make electronic prior authorization work. You'll walk away understanding not just what these technologies do individually, but how they work together to create a functional, compliant prior auth ecosystem.


Your Presenters:

Keith Brick, Interoperability Architect, Itiliti Health

Jeremy Yoon, Senior Product Manager, 1upHealth

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Contact Information

WEDI
Name: Michael McNutt
Email: mmcnutt@wedi.org
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