Every market, every transaction type, one flat fee.
One connection, unlimited volume — the whole catalog as it launches.
The connection
Every transaction type as it launches. Prior authorization and the four CMS-0057 APIs in January 2027, claims and remittance in April, pharmacy in July, quality and value-based reporting in October — and each category the catalog adds after that, on the same connection. See the full catalog & roadmap →
One integration, every market
Integrate once, reach every market the network ever opens. One connection replaces separate builds for every mandate and separate integrations with every provider — in this market and every future one.
The price
One flat fee. $0.50 per member per month, covering unlimited volume across every transaction type. New capabilities carry no additional charge, and the network’s Open Access tier — onboarding, conformance testing, and your members’ patient access — is free. See pricing →
What it replaces
Manual transaction handling and the compliance builds themselves. Portal and IVR operations, provider call-center volume, per-transaction clearinghouse and EDI tolls, per-provider integration projects — and each future mandate arrives as a network release instead of another vendor project. Hard dollars alone run nearly 6x the fee. Future compliance value and clinical-data exchange in place of the chart chase sit on top, taking it to roughly 8x. Measured downstream savings — fewer appeals, payment integrity moved upstream from pay-and-chase — take the total to roughly 10x.
The deadline and the pledge
One connection supports both the CMS-0057 readiness path and the industry pledge timeline. CMS-0057 requires FHIR-based prior authorization, defined decision timeframes, and public reporting by January 1, 2027 — and the nation’s major payers have publicly pledged to streamline prior authorization on the same clock.
The January capability commitment
A payer’s committed capability never waits. Certify, and your compliance capability is live January 1 regardless of market density. Provider density builds through the first quarter on funded onboarding; your compliance path never waits for it. The network makes the capability available and testable; each payer remains responsible for its own regulatory compliance, data readiness, endpoints, and operational decisions.
Launch Participant terms
Sign in 2026, hold the lower rate. Pay $0.25 per member per month through 2029 in each market production-certified by December 31, 2027, stepping to $0.50 on January 1, 2030. Billing begins as each market goes live under the participation schedule. The window closes December 31, 2026. Launch Participant terms span the full published catalog. Each new release activates in your market within a 90-day window of shipping — and because the rails arrive at your gateway automatically, activation is a configuration and readiness step, not a project. If a release moves, your window moves with it. One signature covers the road, not just the on-ramp.
Savings multiples are directional modeled estimates built on industry benchmark data, including the CAQH Index and AMA survey data, at typical volumes. Results vary by organization, starting cost, route migration, market density, and decommissioning timing; each participant sees its own results on its monthly network statement.