The Coverage Requirements Discovery (CRD) is a component of the Da Vinci HL7 FHIR Project for electronic prior authorizations. CRD enables the exchange of coverage plan requirements from payers to providers at the time of treatment decisions, patient–specific with a goal to increase transparency for all parties of coverage that may impact services rendered, i.e., is prior authorization required, are there other predecessor steps; lab tests required, physical therapy.
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.
