FHIR Prior Authorization Submission API for Health Cloud

The FHIR Prior Authorization Submission API enables seamless electronic prior authorization (ePA) between providers and payers, aligning with HL7 Da Vinci’s Prior Authorization Support (PAS) implementation guide. It allows providers to submit prior authorization requests using FHIR-based workflows and track responses from payers. The API supports structured documentation by allowing filled FHIR QuestionnaireResponse submissions as part of the $submit operation, ensuring all necessary clinical data is included. By using this API, payers can streamline prior authorization processing, reduce manual interventions, and enhance compliance with interoperability standards, ultimately leading to faster approvals and improved patient care.