Visibility is a common challenge in healthcare. A patient may have visited an out-of-network specialist, or been vaccinated at a retail pharmacy and not in a provider’s office. They may have multiple insurance plans, or be participating in a clinical trial for which providers or payers don’t receive ongoing updates. 

\r\n And then there’s the conundrum of API visibility. The healthcare continuum — and interoperability — is powered by application programming interfaces, or APIs, which are increasingly required by law. A new CMS Interoperability and Prior Authorization Rule requires payers to maintain three main categories of APIs:  Payer Access APIs, Provider Directory APIs, and Payer-Provider and Payer-Payer APIs.

\r\n \r\n Patient Access APIs will increase members' access to their own medical data and likely enhance member satisfaction.

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\r\n Provider Directory APIs allow members to search for healthcare providers and facilities based on their location and medical specialty, which will…