Managed Care
Network Health Launches Epic Prior Authorization API Ahead of 2027 CMS Deadline
Network Health has implemented Epic's prior authorization application programming interface (API) in advance of CMS's January 1, 2027 interoperability rule deadline. The rule requires insurers to deploy APIs for patient access, provider access, provider directory, payer-to-payer data exchange, and prior authorization. Network Health is among the early adopters working with Epic to meet these requirements before the mandate takes effect. The implementation aims to streamline prior authorization processes between the health plan and providers using Epic's electronic health record system.
Why it mattersEarly API adoption may reduce administrative burden and prior authorization delays for providers and health plans, particularly those serving Medicaid populations where Epic EHR systems are widely used.