CMS-0057-F COMPLIANCE

Get 0057-Ready on One Platform.

Gravity by Innovaccer covers all four FHIR APIs on a single governed data foundation — without replacing your existing systems.
Book a Demo
Book a Demo
4 FHIR APIs
MANDATE
Jan 1, 2027
DEADLINE
OUTCOMES
Turn CMS-0057-F Compliance Into Competitive Advantage
Hit every 0057 deadline while reducing denials, improving Star Ratings, and winning provider loyalty.
Meet All Four API Deadlines on One Platform
Eliminate vendor sprawl, integration overhead, and finger-pointing at audit time. One data foundation powers all four FHIR APIs with a single audit trail.
Automate Prior Auth Without Losing Clinical Control
AI agents auto-populate PA requests, flag missing docs, and route exceptions — meeting 7-day and 72-hour mandates. Transparent AI with human-in-the-loop.
Achieve Audit-Ready Compliance from Day One
HIPAA, HITRUST, SOC 2, NCQA certified. Every PA decision tracked. CMS reporting built in — not bolted on.
THE PLATFORM
One Data Foundation for All Four FHIR APIs
Most payers fail on the data layer, not the API build. Gravity unifies everything into one governed layer — so your APIs return accurate, auditable data from day one.
FHIR-Native API Coverage
All four APIs — Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization — live-ready on one data foundation. Traceable, auditable data exchange across every endpoint.
All Four APIs
One Integration
Compliance Built-In
Unified Enterprise Data Platform
Unify claims, clinical, pharmacy, labs, and prior auth data into a single governed intelligence layer. 200+ connectors. 6,000+ data quality checks. 80M patient lives.
Labels- No Data Silos
Faster Insights
Enterprise-Scale
CMS Reporting & Compliance Dashboards
Built-in reporting for PA turnaround times (7-day / 72-hour), denial reason specificity, API usage metrics for CMS, and reviewer credential documentation. Real-time dashboards replace quarterly spreadsheets.
Labels- No More Spreadsheets
Always Audit-Ready
Deadline Confidence
INFRASTRUCTURE
Enterprise-Grade, Healthcare-Safe AI Infrastructure
Built for payer compliance. Zero-Trust, multi-layered architecture satisfies CMS, URAC, and your board.
Single-Tenant Deployment & Data Control
Deploy in your AWS or Azure. Data never leaves your boundary. Encryption in transit/at rest. Full admin visibility.
Healthcare Certified
HIPAA, HITRUST, SOC 2 Type II, NCQA. Audit-ready workflows across risk, quality, and UM.
Full Observability & AI Governance
Nanosecond-stamped logs. Always-on PHI redaction. Bias monitoring. Model Impact Assessments. Transparent SBOMs.
FAQ

Frequently Asked Questions

Frequently Asked Question

What is CMS-0057-F and who does it apply to?
CMS-0057-F is the CMS Interoperability and Prior Authorization Final Rule, released January 17, 2024. Requires MA, Medicaid MCO, CHIP, and ACA Marketplace payers to implement four FHIR APIs by January 1, 2027. First reporting deadline (March 31, 2026) has already passed.
Can Gravity integrate with my existing core admin systems?
Yes. Sits on top of Facets, QNXT, Epic, or custom-built. 200+ connectors. FHIR, HL7, C-CDA, X12/EDI. No rip-and-replace.
Does Gravity cover all four required FHIR APIs?
Yes. FHIR-native support for all four on a single data foundation with one audit trail.
How does Gravity handle AI governance for URAC v8?
Transparent, auditable AI. Human-in-the-loop. Bias-testing documentation. Algorithmic audit trails. Decision transparency logs. Meets both CMS-0057-F and URAC v8.
How quickly can we get compliant?
Months, not years. Pre-built connectors, data quality rules, and agent templates accelerate deployment.
Do I need to replace my current systems?
No. Gravity extends your existing investments. Data unification, FHIR interoperability, compliance workflows, AI governance — while your systems keep running.
What certifications does Gravity hold?
HIPAA, HITRUST, SOC 2 Type II, NCQA. Best in KLAS 2026 (Provider + Payer). Black Book #1 2026 (AI-Powered Revenue Cycle + Population Health).