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The Deadline for Payer to Payer CMS Interoperability Rule


CMS-regulated health plans must enable Payer to Payer Data Exchange by January 1st, 2022. ​

What does this mean for Payers?


Member Request

Payers must be able to send and receive clinical USCDI V1 data to and from another health plan, at the members (patient’s) request.


Member Coverage

Payers must be able to send and incorporate data for an enrollee during their coverage period and for up to 5 years after coverage ends. All member data on or after January 1st, 2016 needs to be included.

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