Welcome to the CAQH Endpoint Directory

The CMS Interoperability and Patient Access final rule became final on March 9, 2020. This rule is designed to make health information more easily available to patients and to improve coordination of care. CMS-regulated payers are required to implement and maintain secure, standards-based Patient Access APIs using HL7 FHIR 4.0.1 to enable patient access to claims, payment, encounter, clinical and formulary information through third-party applications.

To meet the CMS Interoperability mandate requirements, payers open its FHIR APIs to third-party vendor organizations and allow them to use the technology to develop applications for use by clinicians, patients, and other members. It means payers have to publish the FHIR specifications or capability statements on their website and provide access to member's data through web applications of their choice (mobile and web) that query and retrieve resources from the FHIR server and presents the data to the user. New applications can offer many opportunities to both payers and to you as a vendor organization.

The CAQH Endpoint Directory helps drastically simplify the partnership between healthcare organizations and application vendors to help consumers access and transfer their healthcare data. With this solution, organizations can register their applications and FHIR endpoints, get them validated and certified and later publish them to a centralized shared Directory. With the CAQH Endpoint Directory, you can:

  • Register your applications and all the supporting documentation.
  • Get your applications validated against multiple test scenarios and test conditions (against a test FHIR server).
  • Register your endpoints and get them validated to ensure that they are accessible.
  • Undergo privacy and security attestations, data use agreement reviews.
  • Publish your applications and endpoints (that have been approved) in the global Directory, so that other organizations can discover them and reach out to you for establishing connections.
  • Discover what other entities have been published, connect and cooperate with other organizations.