Skip to main content

Readiness report

CMS-0057-F readiness report

What 77 payer-side FHIR endpoints say in their two public discovery files, for payers and API vendors preparing for CMS-0057-F. Data from the run of 2026-10-20.

Scope limits

  • This is not a compliance determination, and it is not a grade. Nothing here changes any grade, score or weight elsewhere on this site.
  • The additional APIs are not graded here. The statements further down say why, and say how well that is sourced.
  • Only two public files were read for each endpoint, /metadata and /.well-known/smart-configuration. Nothing was requested beyond them and no API was exercised.
  • A field a file does not contain is reported as absent. It is not a refusal and not a failure.
  • Listing here says nothing about whether an organization is subject to the rule.

What the files declare, counted

CapabilityStatement: 61 read, 0 retrieved and not readable, 16 not retrieved. SMART discovery document: 24 read, 0 retrieved and not readable, 53 not retrieved. A document that was not retrieved, or arrived and could not be read, is counted in its own column and is never read as a field the publisher left out.

How many of the 77 payer-side endpoints give each answer. Each row sums to 77; the columns are never merged.
Questiondeclarednot listednot declared: the field is absentcould not be readnot retrieved on this run
Declares private_key_jwt client authentication at the token endpoint10410053
Declares the client_credentials grant, which SMART Backend Services uses11211053
Declares the client-confidential-asymmetric capability9123053
Declares system-level scopes5154053
Declares an export operation13480016
Instantiates the Bulk Data Access implementation guide8530016

Each endpoint

Payer Patient Access APIs

Payer Patient Access APIs: what each endpoint's two public files declare
EndpointFHIR version declaredprivate_key_jwtclient_credentials grantclient-confidential-asymmetricsystem/ scopesexport operationBulk Data guide
22 Health (Community Care Plan) Patient Access API4.0.0declarednot declared: the field is absentnot listeddeclareddeclarednot listed
Aetna Patient Access (public demo instance)4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
AmeriHealth Caritas Next (Delaware) Patient Access API4.0.1not declared: the field is absentnot declared: the field is absentnot listednot listednot listednot listed
AmeriHealth Caritas Next (Florida) Patient Access API4.0.1not declared: the field is absentnot declared: the field is absentnot listednot listednot listednot listed
AmeriHealth Caritas Next Louisiana Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
AmeriHealth Caritas Next North Carolina Patient Access API4.0.1not declared: the field is absentnot declared: the field is absentnot listednot listednot listednot listed
Anthem Blue Cross Blue Shield Patient Access API (Elevance)not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Aspirus Health Plan Patient Access APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
AvMed Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Blue Cross and Blue Shield of Alabama Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Blue Cross and Blue Shield of Nebraska Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this rundeclarednot listed
Blue Cross and Blue Shield of North Carolina Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Blue Cross Blue Shield of Arizona Patient Access APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Blue Cross Blue Shield of Minnesota Patient Access API (preview)4.0.1not listednot declared: the field is absentnot listednot listednot listednot listed
Blue KC Patient Access API4.0.0not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Capital Blue Cross Patient Access APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
CareSource Patient Access API4.0.1declareddeclareddeclareddeclareddeclarednot listed
Cigna Patient Access API4.0.1not declared: the field is absentnot declared: the field is absentnot listednot declared: the field is absentnot listednot listed
CMS Blue Button 2.0 (Medicare)4.0.1not declared: the field is absentnot listednot listednot listednot listednot listed
Cox HealthPlans Interoperability API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this rundeclarednot listed
Florida Blue Patient Access API (CMS Interoperability conformance endpoint)4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Group Health Cooperative-SCW Patient Access API4.0.1declareddeclareddeclarednot listednot listeddeclared
Health Plan of San Mateo Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this rundeclarednot listed
HealthPartners Patient Access API4.0.1declareddeclareddeclareddeclareddeclarednot listed
Humana Patient Access API4.0.1not listeddeclarednot listednot listednot listeddeclared
Imperial Health Plan Patient Access APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Inland Empire Health Plan Patient Access API4.0.1not declared: the field is absentnot declared: the field is absentnot listednot listednot listednot listed
Kaiser Permanente Health Plan Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Louisiana Blue Patient Access API4.0.1declareddeclareddeclarednot listednot listeddeclared
MercyCare Health Plans Patient Access API4.0.1declareddeclareddeclarednot listednot listeddeclared
Network Health Patient Access API4.0.1declareddeclareddeclarednot listednot listeddeclared
Paramount Health Care Interoperability API4.0.1not listeddeclarednot listednot listednot listednot listed
Premera Blue Cross Patient Access API4.0.1declareddeclareddeclareddeclareddeclarednot listed
Priority Health Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this rundeclarednot listed
Quartz Patient Access API4.0.1declareddeclareddeclarednot listednot listeddeclared
Santa Clara Family Health Plan Patient Access API4.0.1not declared: the field is absentnot declared: the field is absentnot listednot listeddeclareddeclared
Security Health Plan Member API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Sharp Health Plan Patient Access APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Wellmark Patient Access API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listeddeclared
Wellpoint Patient Access APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run

Payer Provider Directory APIs

Payer Provider Directory APIs: what each endpoint's two public files declare
EndpointFHIR version declaredprivate_key_jwtclient_credentials grantclient-confidential-asymmetricsystem/ scopesexport operationBulk Data guide
22 Health (Community Care Plan) Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
AmeriHealth Caritas Next (Delaware) Provider Directory API4.4.0not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
AmeriHealth Caritas Next (Florida) Provider Directory API4.4.0not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
AmeriHealth Caritas Next Louisiana Provider Directory API4.4.0not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
AmeriHealth Caritas Next North Carolina Provider Directory API4.4.0not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Aspirus Health Plan Provider Directory APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
AvMed Provider Directory APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Blue Cross and Blue Shield of Alabama Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Blue Cross and Blue Shield of Kansas Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Blue Cross and Blue Shield of North Carolina Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Blue Cross Blue Shield of Michigan Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Blue KC Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
CareSource Provider Directory API4.0.1declareddeclareddeclareddeclareddeclarednot listed
Centene Provider Directory API (Ambetter)not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Central California Alliance for Health Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
CHRISTUS Health Plan Provider Directory APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Cigna Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Community Health Group Provider Directory API4.0.1not listednot listednot listednot listednot listednot listed
CommunityCare Provider Directory API (commercial)4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this rundeclarednot listed
CommunityCare Provider Directory API (marketplace)4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this rundeclarednot listed
Elevance Health shared Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Florida Blue Provider Directory API (CMS Interoperability conformance endpoint)4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Group Health Cooperative-SCW Provider Directory APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Health Care Service Corporation Provider Directory APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Imperial Health Plan Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Inland Empire Health Plan Provider Directory API4.0.1not declared: the field is absentnot declared: the field is absentnot declared: the field is absentnot declared: the field is absentnot listednot listed
L.A. Care Health Plan Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Medical Mutual of Ohio Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this rundeclarednot listed
MercyCare Health Plans Provider Directory API4.4.0not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Network Health Provider Directory APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Premera Blue Cross Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Priority Health Provider Directory APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
Quartz Provider Directory API4.4.0not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Santa Clara Family Health Plan Provider Directory API4.0.1not declared: the field is absentnot declared: the field is absentnot declared: the field is absentnot declared: the field is absentnot listednot listed
Security Health Plan Provider Directory API4.0.1not retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot listednot listed
Sharp Health Plan Provider Directory APInot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this runnot retrieved on this run
UnitedHealthcare Provider Directory API4.0.1not declared: the field is absentnot declared: the field is absentnot declared: the field is absentnot declared: the field is absentnot listednot listed

By the software the CapabilityStatement names

This is what each document says, not who operates the server. A multi-tenant platform reports the platform, some documents name nobody, and endpoints whose CapabilityStatement was not read are grouped apart.

For each software name a CapabilityStatement declares: how many endpoints name it, and for each question how many declared it out of how many documents could be read for it
Software namedEndpointsprivate_key_jwtclient_credentials grantclient-confidential-asymmetricsystem/ scopesexport operationBulk Data guide
CapabilityStatement not read160 of 00 of 00 of 00 of 00 of 00 of 0
No software named161 of 81 of 80 of 81 of 82 of 161 of 16
1up FHIR Server60 of 00 of 00 of 00 of 06 of 60 of 6
HAPI FHIR Server60 of 00 of 00 of 00 of 01 of 60 of 6
provider-fhir-service60 of 00 of 00 of 00 of 00 of 60 of 6
Epic55 of 55 of 55 of 50 of 50 of 55 of 5
AmeriHealth Caritas40 of 30 of 30 of 30 of 30 of 40 of 4
Azure Healthcare APIs21 of 11 of 11 of 11 of 11 of 20 of 2
InterSystems HealthShare Provider Directory FHIR Server20 of 00 of 00 of 00 of 00 of 20 of 2
Opala21 of 11 of 11 of 11 of 11 of 20 of 2
Orchestrate Server22 of 22 of 22 of 22 of 22 of 20 of 2
Amazon HealthLake FHIR Server10 of 00 of 00 of 00 of 00 of 11 of 1
BCBS MN FHIR Server10 of 10 of 10 of 10 of 10 of 10 of 1
Blue Button API: Direct10 of 10 of 10 of 10 of 10 of 10 of 1
BlueKC FHIR Server10 of 00 of 00 of 00 of 00 of 10 of 1
HiPaaS10 of 00 of 00 of 00 of 00 of 10 of 1
hos-fhir-server10 of 00 of 00 of 00 of 00 of 10 of 1
HumanaFHIR10 of 11 of 10 of 10 of 10 of 11 of 1
InterSystems Unified Care Record10 of 00 of 00 of 00 of 00 of 10 of 1
optum-flex-server-default10 of 10 of 10 of 10 of 10 of 10 of 1
ZeOmega HealthUnity Interoperability Platform10 of 00 of 00 of 00 of 00 of 10 of 1

What this page says about the regulation

These statements are the only ones on this page about the rule. Each is taken from this project's own documents. Where the status says the rule text has not been checked, that is literal: this repository does not cite or retain the Federal Register notice or the eCFR text, so the statement is the project's, not a quotation of the rule.

Every statement this page makes about the regulation or about its own scope
StatementStatusWhere this repository says it
CMS-0057-F adds Provider Access, Payer-to-Payer, and Prior Authorization APIs.Stated in this project's documents. The rule text is not cited or retained in this repository, so it has not been checked against the Federal Register or the eCFR.data/cohorts/california.json; docs/SAMPLING-FRAME.md
Their compliance dates are in January 2027.Stated in this project's documents. The rule text is not cited or retained in this repository, so it has not been checked against the Federal Register or the eCFR.data/cohorts/california.json; docs/SAMPLING-FRAME.md
Because they are not in force yet, this project does not grade them.This project's own rule, stated in its documents.data/cohorts/california.json; docs/SAMPLING-FRAME.md
This project makes no compliance determinations.This project's own rule, stated in its documents.ROADMAP.md
Being listed in this project's frame or registry is not a compliance obligation.This project's own rule, stated in its documents.docs/SAMPLING-FRAME.md

What this page does not assert

Where the data comes from

The same observations feed each endpoint's page and its api/endpoint/<id>.json file, in the block named app_to_server. The questions and their citations are the ones on how we grade and on each endpoint page. To check a row, open the endpoint, or fetch its two public files yourself.