CMS-0057-F Compliance Solutions | 1uphealth

CMS-0057-F Compliance

The Interoperability and Prior Authorization final rule includes four APIs and multiple payer deadlines. 1upHealth covers all of them.

Compliance Without Compromise

Most healthcare interoperability vendors talk about how the APIs work. 1upHealth can explain what they mean for your health plan — and how to drive value beyond compliance.

That expertise is backed by a fully managed, modular platform that integrates with your existing systems and keeps pace with evolving CMS interoperability requirements.

The deadline is just the beginning. The same foundation that gets you to January 2027 delivers additional value — powering risk adjustment, quality measurement, care gap closure, and whatever comes next for payers.

Compliance Is Our Problem, Not Yours

1upHealth takes on the complexity of CMS-0057-F, from API development to ongoing maintenance, with a dedicated platform and experienced team handling it all.

100+ Implementations. Zero Guesswork

More CMS FHIR API implementations than any other vendor means a proven path to production and a team that has seen every curveball.

No Integration Tax

1upHealth manages the connectivity with other payers, providers, third-party apps, and external vendors on your behalf, eliminating point-to-point integration costs and reducing internal IT lift.

Built for 2027. Ready for What's Next

Plans that build point solutions for today's mandates will spend again when the next regulation arrives. The 1up Platform is a flexible investment that compounds over time.

1upHealth is always ahead of the game when it comes to meeting the regulations and timelines… They are 100% an SME in interoperability, and I don't think there are a lot of people in the field who can prove that… It's the one thing I don't have to worry about.

VP/Other Executive, April 2026, collected by KLAS Research

Everything You Need to Meet CMS-0057-F & Beyond

Meet the Mandate

Full CMS-0057-F Coverage

One platform covering Electronic Prior Authorization, Payer-to-Payer Data Exchange, Provider Access, and Patient Access.

Built-In Compliance Visibility

Pre-built dashboards and audit trails give leadership clear, defensible visibility into compliance activity across all APIs.

Consent Management

Flexible workflows capture, track, and audit member consent without adding operational burden.

Policy-Based Data Governance

Customizable controls define exactly what data is shared and with whom for specific use cases.

Go Further

ONE CONNECTION. EVERY PARTNER

A single connection to the industry's largest payer, provider, and third-party app network.

ADOPT NOW. EXPAND LATER

Start with what you need today and layer in additional capabilities over time.

COMPLIANCE DATA, PUT TO WORK

Compliance data flows directly into risk, quality, care management, and member engagement workflows.

NO LOCK-INS. NO CONSTRAINTS

Connects with your existing EHRs, UM systems, and analytics platforms.

SECURITY YOU CAN STAND BEHIND

HIPAA-compliant, HITRUST-r2-certified, and SOC 2-Type II-audited infrastructure protects sensitive data at every point of exchange.

Complete Visibility Into Your Compliance Program

Most interoperability platforms give you APIs. 1upHealth gives you a command center. The 1up Console provides visibility and control over how data moves across your ecosystem. You can view and manage:

For CMS-0057-F specifically, that means one place to monitor compliance activity across all four APIs, generate the reports your leadership and regulators need, and answer confidently when someone asks if your health plan is compliant.

2026-2027 Payer Interoperability Guide

CMS-0057 deadlines are fast approaching for payers. Download our new Interoperability Guide to learn what CMS requires, how to avoid costly vendor mistakes, and how to generate value beyond compliance.

1upHealth CMS-0057-F Products

1up Electronic Prior Authorization

Automate prior authorization to deliver faster decisions and better experiences.

1up Payer-to-Payer Data Exchange

Unlock historical member data to improve onboarding and close care gaps.

1up Provider Access

Enable providers with timely patient data for better care decisions.

1up Patient Access

Give members easy, secure access to their health information.

Trusted by the Nation’s Top Health Plans

Deep regulatory expertise, a proven track record, and a team that stays with you long after go-live.

Additional Resources

Webinar Quality Measures

Webinar CMS-0057

Blog

In The News AI & Data Activation

Ready to Get Compliant?

Join the nation’s leading health plans trusting 1upHealth to handle CMS-0057-F compliance.

Leave the complexity to us.