Additional Use Case – Electronic Prior Authorization

PLEDGE: We pledge to advance electronic prior authorization beyond minimum compliance requirements by implementing interoperable, end-to-end workflows across medical prior authorization processes. We commit to working collectively across stakeholders to support alignment, seamless data exchange, and measurable improvements across medical prior authorization workflows consistent with CMS-0057-F.

Early Adopters

Providers:

AtlantiCare

Bon Secours Mercy Health

Cleveland Clinic

Froedtert ThedaCare

Ochsner Health

Providence

Rush University System for Health

Sanford Health

Tennessee Oncology

Electronic Health Records:

athenahealth

eClinicalWorks

Epic

MEDITECH

Modernizing Medicine, Inc.

Oracle

TrueBridge

Networks:

b.well Connected Health
 
CommonWell
eHealth Exchange
 
Kno2

Payers:

Aetna

Blue Shield of California

Cambia Health Solutions

Cigna

Elevance

Highmark

Horizon Blue

Humana

UnitedHealthcare

Page Last Modified:
05/13/2026 05:25 PM