FHIR Gateway

Operationalize interoperability to
achieve enterprise value.

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FHIR Gateway is part of Cotiviti's Interoperability solution suite.

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96%

of surveyed Payment Integrity VPs, Directors and Managers at payer organizations are likely to recommend Cotiviti.*

Healthcare organizations need reliable infrastructure to enhance care coordination, reduce administrative burden, and modernize standards-based data exchange while powering operational workflows and meeting evolving compliance requirements.


Read the FHIR Gateway Fact Sheet.

Trusted data sharing. Lower total cost of ownership. Faster time to value.

Cotiviti’s FHIR Gateway validates and standardizes data exchange between payers, providers, patients and other ecosystem partners by consolidating CMS-mandated APIs into a single, flexible platform that doesn’t require complex and costly upgrades and integrations.

  • Bridges standards by connecting modern FHIR APIs with legacy EDI systems
  • Supports real-time data access, FHIR-enabled workflows, and compliance with CMS interoperability mandates such as 9115-F, 57-F and 62-P
  • Integrates with core systems of record for policy management, utilization management, medical guidelines and delegated specialty and provider group networks
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FHIR Gateway supported outcomes

Enhance care coordination, member engagement, and value-based care while maximizing ROI.

  • Pair prior authorization data with routing and decision logic to reduce costs and simplify integration with utilization management (UM) systems and external vendors
  • Expedite development with a secure, standards-based foundation for applications, portals, and third-party integrations
  • Support Provider Access API, quality reporting, and value-based care programs with bulk data export capabilities
  • Reduce fragmented data by integrating member healthcare data with clinical quality and risk adjustment datasets
  • Integrate opt-in consent with member enrollment, payer portal, and customer service solutions

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