Glossary

In-Network

Healthcare providers or services that are part of the contracted network of a specific insurance plan. Referring patients to in-network providers may impact coverage and out-of-pocket costs.

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More Valer Resources

How to Prepare Your Prior Authorization Workflows for CMS-0057-F and Beyond

Mar 6, 2026 | Guides

Our practical checklist and workflow mapping guide helps patient access leaders assess and organize their prior authorization processes before CMS-0057-F’s FHIR-based API requirements take effect in 2027.

The Prior Auth Regulation Clock Is Running: What Providers Must Fix Now

Jan 16, 2026 | Webinars

Join Valer’s webinar to learn what provider organizations must fix now to modernize prior authorization workflows under CMS-0057-F and WISeR, improve compliance, and reduce delays.

The Prior Auth Regulation Reality Check: Beyond the Headlines

Dec 3, 2025 | Webinars

Join Valer Co-Founder and CEO Dr. Steve Kim for an unfiltered look at what CMS-0057-F and WISeR will—and won’t—change for your patient access operations. This webinar breaks down the real-world implications behind the regulations, the gaps between policy and practice, and a practical checklist to help your team prepare for what’s next.

Glossary

In-Network

More Valer Resources

How to Prepare Your Prior Authorization Workflows for CMS-0057-F and Beyond

The Prior Auth Regulation Clock Is Running: What Providers Must Fix Now

The Prior Auth Regulation Reality Check: Beyond the Headlines

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