New York A03947 mandates health insurance companies to establish APIs for patient and provider access to health information.
New York A03947 amends the insurance law to require health insurance companies to establish and maintain APIs starting January 1, 2026. These APIs include a Patient Access API for patient information, a Provider Directory API for provider data, and a Payer-to-Payer Exchange API for data exchange between payers. The bill also allows the department to mandate additional APIs, such as a Provider Access API and a Prior Authorization Support API, in accordance with federal rules. This legislation aims to enhance patient and provider access to health information.
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