CMS Interoperability Data Exchange

When you switch health plans or go to a new doctor, it’s important they know your health history. Tools like the Payer-to-Payer API and Provider Access API help share your medical records owned and maintained by the health plan, insurance info, and care approvals so your new doctor has what they need to take care of you.

 

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Payer-to-Payer API

Make Changing Health Plans Easier With the Payer-to-Payer Data Tool

Changing health plans can be confusing.

But the Payer-to-Payer (P2P) Data Exchange helps make it easier. It safely moves your important health information—like your medical history, past doctor visits, and care approvals—from your old health plan to your new one. That means less paperwork for you and a smoother switch.

 

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Fast Access. Smooth switch. No stress.

Your doctors need to know your full health story to give you the best care. The Payer-to-Payer tool helps your new health plan and doctors quickly and safely get your records. This helps avoid repeating tests and keeps your care on track without delays.

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A Smoother and Stress-Free Transition to Your New Health Plan

With plan changes, comes the worry of ensuring that your health information is transferred to your new plan. But with the new Payer to Payer API, once you have provided your authorization, the result is seamless transition, so you can receive you continue care and avoid interruptions.

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Making Health Care More Efficient

The Payer-to-Payer Data Exchange is part of a bigger plan to make health care easier for everyone. With your permission, your health records can be shared quickly and correctly between health plans. This helps your doctors spend less time on paperwork and more time helping you.

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Provider Access API

Make Changing Health Plans Easier With the Provider Access Data Tool

Changing health plans can be confusing.

But the Provider Access Data Tool helps make it easier. It safely moves your important health information—owned and maintained by your health plan from your previous KP contracted provider to your new one. That means less paperwork for you and a smoother switch.

 

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Streamlined care with the Provider Access API

Taking care of your health is now simpler. The new Provider Access API lets your doctors see important information—like your claims history, benefits, and care approvals owned and maintained by the health plan—right when they need it, as long as you already see that provider.

Whether you’re visiting a new provider or getting care in a different place, this tool helps your care team have the latest info about your health and coverage.

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Instant Access to Your Health Info

The Provider Access API gives your provider safe, real-time access to your health information. This helps your care team make smart choices faster, so you get better care without long waits.