An Architecture Blueprint for X12-FHIR Interoperability under CMS-0057-F provides practical guidance for healthcare organizations transitioning between traditional ANSI X12 EDI transactions and modern HL7 FHIR standards without disrupting existing systems. For decades, X12 EDI has supported critical healthcare administrative processes such as eligibility verification, claims, remittances, enrollment, and prior authorization, while FHIR has emerged as the leading standard for healthcare data exchange and interoperability. The blueprint explains the key differences between EDI and FHIR, the impact of CMS-0057-F regulations, and the role of the Da Vinci Prior Authorization Support (PAS) framework. It highlights the importance of bidirectional translation between X12 and FHIR through a central

Join for free to read