Most CMS-0057-F conversations start with a vendor demo before anyone's actually mapped what's already built, what's half-built, and what hasn't started. That's how a scoped six-month project turns into an open-ended one.
This survey exists to skip that step. It's the same set of questions we'd ask in a discovery call, just without the call: where each API stands today, what your current claims and UM systems already expose, and where the prior-authorization turnaround-time and reporting requirements are likely to bite first.
What it covers
Six sections, same order as the rule itself
Patient Access API
Whether prior-auth status and denial-reason data are already flowing through an existing Patient Access API, or still need to be added.
Provider Access API
In-network attribution, opt-out handling, and whether backend-services SMART App Launch is already in place for provider authentication.
Payer-to-Payer API
Consent and opt-in workflow maturity, and whether a $member-match and bulk-data export approach exists yet.
Prior Authorization API (CRD/DTR/PAS)
CQL rule authoring, DTR questionnaire tooling, and PAS submission handling, plus who owns rule maintenance today.
Process & turnaround-time compliance
How close current UM workflows are to the 72-hour/7-day decision windows and the mandatory denial-reason requirement.
Public reporting & audit
Whether the public prior-auth metrics report can be generated today, and how defensible the audit trail behind it actually is.
Take the survey
Ten minutes, no sales call attached. Answers stay with you; we don't see them unless you choose to share your results with us.