A payer is a person, organization, or entity that pays for the care services administered by a healthcare provider. This most often refers to health insurance companies, which provide people with insurance that offers cost coverage and reimbursements for medical services. This could be a private insurance company or a government program.
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.
