Prior authorization is moving toward a more connected, transparent, and electronic future, but the transition will not happen overnight. CMS-0057 and HTI-4 are designed to work together, with CMS-0057 focused on payer requirements and HTI-4 bringing certified EHR and provider-side readiness into the broader interoperability picture.

In this Office Hours session, Aarthi Sivaraj, Senior Director of Product for Patient Access Product Development at Infinx, will break down what these regulations mean in practical terms and how they may affect the end-to-end prior authorization workflow. We’ll look at the impact on authorization requirement discovery, documentation collection, payer submission, status tracking, follow-up, and denial prevention.

The discussion will also focus on vendor readiness. Many vendors may say they are CMS-0057 compliant, but providers need to understand what that actually means inside the daily workflow. We’ll cover key questions organizations should ask their EHRs, prior authorization vendors, clearinghouses, and technology partners, along with how providers should prepare over the next 6, 12, and 18 months.

Thursday, July 16, 2026, 11:00 am PT / 1:00 pm CT / 2:00 pm ET

Learning Objectives

By the end of this session, attendees will be able to:

  1. Explain how CMS-0057 and HTI-4 work together to shape the future of prior authorization interoperability across payers, providers, EHRs, and technology vendors.
  2. Identify how these regulations may affect the end-to-end prior authorization workflow, including requirement discovery, documentation collection, submission, status tracking, follow-up, and denial prevention.
  3. Use a practical vendor-readiness checklist to ask better questions of EHRs, prior authorization vendors, clearinghouses, and other technology partners.

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