A CQL is a FHIR–compliant standard to represent payer “rules” for payer medical necessity and best clinical practice requirements that may affect the ability to have certain services or devices covered by the responsible payer.
How to Prepare Your Prior Authorization Workflows for CMS-0057-F and Beyond
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.
