CMS-0057-F & FHIR Implementation Consulting.

Implementation consulting for payers, providers, and integrators working on CMS-0057-F, FHIR, and healthcare EDI, from the engineers who build the Redix engine. More than 30 years of healthcare data transformation experience.

Software + consulting. We scope Redix conversion components and customer-specific FHIR and PAS integration with your team. The demonstrated workflows are starting points, not a complete production CMS API deployment: your gateway, security, authorization decisions, and acceptance testing are part of the agreed implementation.

CMS-0057-F Readiness Da Vinci PAS FHIR Transformation Custom Mapping Legacy EDI HL7 Migration

Built on the Redix engine, in production environments supporting Fortune 50 payer and Fortune 500 healthcare organizations. The FHIR and Da Vinci PAS components are newer additions to that engine.

CMS-0057-F API requirements generally begin January 1, 2027; timing depends on payer category. Our consultation team works with you from assessment to go-live, including Da Vinci PAS setup for the version agreed for your applicable requirements and trading partners, with compatibility confirmed in testing. FHIR-only and FHIR+X12 architecture options available. See the CMS-0057-F Compliance Suite.

Consultation Areas

From CMS-0057-F readiness to legacy EDI migration, each engagement is scoped to your infrastructure.

CMS-0057-F Readiness

  • Assessment of current 278 Prior Authorization infrastructure
  • Gap analysis for CMS-0057-F requirements
  • Roadmap toward the CMS-0057-F API requirements
  • Da Vinci PAS implementation guidance
  • FHIR-only vs FHIR+X12 architecture decisions
  • Testing, validation, and go-live support

FHIR Transformation

  • HIPAA X12 to FHIR deployment and configuration
  • HL7 v2.x to FHIR migration planning
  • CDA to FHIR transformation setup
  • Custom field mapping for organization-specific requirements
  • REST API integration assistance
  • Performance tuning and optimization

Custom Mapping Services

  • Extending the pre-defined maps to your fields
  • Organization-specific business rules
  • Custom FHIR resource extensions
  • Proprietary data element mapping
  • Complex clinical workflow support

PAS Enablement with RMap

  • For organizations without X12 278 infrastructure
  • RMap 278 schema design for Prior Authorization
  • Direct path from a defined Redix 278 RMap layout to FHIR PAS, without building X12 first
  • Training on RMap format and tooling
  • Deployment and validation against agreed acceptance criteria, including your receiving systems, terminology, and partner testing

How We Work

Four-phase approach from assessment to production.

1

Readiness Assessment

Assess current X12/FHIR capabilities against CMS-0057-F requirements. Identify gaps and dependencies.

2

Strategic Planning

Design conversion workflows, custom field mappings, and API integration points for your architecture.

3

Implementation

Install and configure the Redix conversion components, configure custom maps, and test end to end against agreed acceptance criteria.

4

Go-Live Support

Verify the agreed fields and workflows against the acceptance criteria, then support go-live and the first weeks in production.

Standards expertise across healthcare EDI. Backed by the AnyToAny Engine — the same engine that runs our production modules.

Standards and Data Formats

HIPAA 5010 ANSI X12 UN/EDIFACT HL7 v2.x FHIR R4 NCPDP XML RMap Custom Flat Files

Service Packages

Package Consulting Services Best For
Discovery & Assessment
  • 1-day readiness assessment
  • Gap analysis report
  • Architecture recommendations
  • EDI infrastructure review
 Organizations needing guidance before full implementation
Professional Services
  • FHIR implementation support
  • Custom mapping (FHIR or EDI)
  • Da Vinci PAS setup
  • Database schema design
  • 5 days consulting
 Standard FHIR/EDI deployments with customization
CMS-0057-F Readiness
  • Prior Auth implementation (FHIR-only or FHIR+X12 278)
  • Da Vinci PAS setup
  • The demonstrated API workflows as a starting point
  • X12 to FHIR conversion configuration
  • Testing and go-live support
  • 10 days consulting
 Impacted payers preparing for their CMS-0057-F API compliance dates
Enterprise
  • Scoped FHIR/EDI engagement
  • Custom mapping
  • Da Vinci PAS implementation support
  • Training (3 sessions)
  • Priority support options (SLA-based)
 Complex environments requiring comprehensive solutions

How packages work. Each package describes a typical scope of consulting effort, not a completion-time guarantee; inputs, deliverables, and scheduling are agreed for each engagement. Priority support options are defined in your agreement and do not mean unlimited or round-the-clock coverage.

Software licensing note. The service packages above cover consulting, implementation support, and training only. Software licensing is separate and follows Redix's modular approach. Contact us for a combined quote.

Why Redix

30+ Years

More than three decades of healthcare EDI and data transformation experience.

CMS-0057-F expertise

Working X12 278 to Da Vinci PAS conversion, CRD and DTR demonstrations, and deep knowledge of the CMS-0057-F requirements.

Our Own Software

We are the architects of the AnyToAny Engine. Consulting comes from the team that builds and maintains it.

Working Starting Point

Existing conversion modules and demonstrated workflows give your project a working starting point instead of a blank page.