Availity and Onyx Launch Comprehensive Compliance Platform
Integrated solution accelerates interoperability compliance, streamlines prior authorization, and prepares for regulatory readiness
Integrated solution accelerates interoperability compliance, streamlines prior authorization, and prepares for regulatory readiness
JACKSONVILLE, FL and MISSION HILLS, KC– August 7th, 2025 – Availity®, the nation’s largest real-time health information network, and Onyx, a leader in FHIR®-based interoperability, have partnered to deliver a comprehensive, out-of-the-box solution to help health plans meet the requirements of the CMS-0057 Interoperability and Prior Authorization Final Rule. The joint platform is designed to simplify compliance, reduce administrative burden, and future-proof payer infrastructure for evolving regulatory and operational needs.
The CMS-0057 rule, finalized by the Centers for Medicare & Medicaid Services (CMS), mandates that impacted payers implement a suite of APIs and reporting capabilities by January 1, 2027. CMS estimates a 30-month timeline for implementation and testing to meet full compliance1. With less than 18 months away from compliance deadlines, health plans are facing challenging implementation timelines. Backed by a team with deep interoperability expertise that helped define the industry standard and a national payer-provider-vendor network, The Availity-Onyx solution delivers a proven, scalable path to help health plans not only meet compliance but effectively drive value and ROI via scaled FHIR interoperability. Solution capabilities include:
The CMS-0057 regulation is a transformative step toward a more connected healthcare ecosystem. By requiring payers to adopt standardized APIs for patient access, provider access, payer-to-payer data exchange, and prior authorization, CMS aims to reduce administrative burden, improve patient outcomes, and enhance transparency across the care continuum.
“CMS-0057 is a pivotal moment for the healthcare industry,” said Mark Scrimshire, Chief Product Officer at Onyx. “Our partnership with Availity brings together best-in-breed capabilities across our respective platforms to enable health plans to meet these mandates with confidence—while also unlocking long-term value through automation, interoperability, and improved provider collaboration. We’re incredibly excited to collaborate with Availity to introduce this solution to the nation’s leading healthcare network”
The Availity-Onyx solution is designed to deliver more than just compliance—it’s built for confidence and long-term value. Key platform features include:
“We’ve built this solution to go beyond compliance,” said Sean Barrett, Chief Product Officer at Availity. “By embedding FHIR-native APIs and real-time data exchange into payer workflows, we’re laying the foundation for a more connected, efficient, and patient-centered healthcare system.”
Availity is the trusted partner for organizations seeking to realize the greatest value from clinical, administrative, and financial data. As the nation’s largest health information network, Availity connects over 2 million providers to health plans and their data, enhancing payer-provider collaboration and operational efficiency. Learn more at www.availity.com.
Onyx is the leader in health data interoperability, delivering standards-based, flexible, and cost-effective solutions that make data easier to access, use, and trust. Our Best in KLAS technology supports real-world workflows with secure, scalable architecture, while our deep industry expertise and strong partner network help payers and providers connect faster, reduce costs, and stay ahead of evolving regulations Learn more at www.onyxhealth.io.