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Prospective & Enrolled Members: 800-405-9681 (TTY 711)

Provider Inquiries: 1-855-969-5907 (TTY 711)

The Centers for Medicare & Medicaid (CMS) Interoperability and Patient Access final rule is a significant milestone in advancing interoperability and efficient data exchange across the entire health system. Enabling patients’ secure access to their own data requires payer and provider systems to align in support of care delivery. Such alignment will help eliminate the data silos that have led to health system complexities.

The CMS Interoperability and Patient Access rule represent a milestone in advancing interoperability and efficient data exchange. The rule establishes the Health Level 7® (HL7) Fast Healthcare Interoperability Resources® (FHIR) Release as the standard for data exchange through open APIs.

This enables HIPAA-compliant partner applications to provide patients timely access to their health records. Health-Axis Interoperability and Patient Access Services can help meet compliance for all components of the Interoperability and Patient Access final rule.

As a leader in promoting standards-based exchange of data across health care, Health-Axis offers services and solutions that facilitate claims and clinical data exchange.

Health-Axis Interoperability and Patient Access Services

Centers for Medicare and Medicaid Services (CMS) established the Interoperability and Patient Access rule (CMS-9115-f)(85 FR 25510) to support the 21st Century Cures Act and executive Order in 2019 as a means to “to improve the quality and accessibility of information that Americans need to make informed health care decisions, including data about health care prices and outcomes while minimizing reporting burdens on affected health care providers and payers.” (https://www.cms.gov/files/document/cms-9115-f.pdf)

In support of that act, we are working along with its respective vendors to provide you, the member, with greater access to your health insurance data. As a part of the first phase of this initiative, we are providing members with the ability to connect to their health insurance data using standardized Patient Access APIs.

To connect to your health plan information, you will need to select a compatible third-party (Electronic Health/Medical Record) application that is FHIR compatible. Once a third-party application has been selected, then you will need to create a profile on the Member Access Portal at https://PPMSmember.prod.healthaxis.net

As a user, you can allow third-party applications access to your health information, otherwise accessible only through your insurance company. To gain access to your health insurance information, you will need to first register through the Member Portal and create a user account before connecting to your account via the third-party application of your choosing.

I. Member Registration

Member register at https://PPMSmember.prod.healthaxis.net

Note – Once the member account is created, then the member will access their third-party application and follow the third-party application’s prompts necessary to connect.

II. Member Login

Note – Member does not need to be logged into the Member Portal in order to access their health information via their selected third-party application.

We are here to help. For inquiries about Interoperability, please contact Members Services at 800-405-9681.
Page Last Updated:  10/15/2021

Provider Partner Health Plans are HMO-SNPs with Medicare contracts. Enrollment in Provider Partner Health Plans depends on contract renewal. Y0135_PPHPWEB_2022