PDex Member Match FHIR API Specification

Service Overview

InterSystems PDex Member Match (Member Match) FHIR APIs are designed in compliance with the CMS-0057-F regulationsOpens in a new tab, which were written to improve the exchange of health care data with the aim of improving prior authorization processes while reducing burden on patients, providers, and payers. The Member Match APIs facilitate member-authorized exchange of information with health plans and other third-party applications, and helps with payer-to-payer data exchange.

Refer to the Getting Started section for information on connectivity, authentication and how to get help.

To use the FHIR APIs, you will need to know the base URL of the FHIR server you will be connecting to. You can also retrieve the capability statement for the service.

Available APIs

The APIs available with the Member Match service are:

• $member-match

Implementation Guides

The Member Match service conforms to the following implementation guide(s):

• Da Vinci Payer Data ExchangeOpens in a new tab implementation guide, version 2.0.1.