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With the CMS Interoperability and Patient Access rule (CMS-9115-F) timelines fast approaching, the noted healthcare payer / health plan required its multiple disparate applications to work together and also to address the Interoperability mandate.

It currently takes the health plan customer service representatives, two or three days to respond to customer inquiries. This has resulted in a poor customer experience and does not support its mission of providing great care to the community. At the same time, the CMS is mandating HL7 FHIR interoperability APIs, for faster patient access to data.

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