CMS FHIR PA Mandate — Fully Compliant

Prior Authorization for DME. Finally Solved.

AuthX Network connects DME suppliers and payers through a FHIR-native electronic prior authorization platform — cutting decision time from days to hours and achieving CMS PA exemption for your highest-volume categories.

Built by HIKE HEALTH | Powered by Angel DME

The DME Prior Authorization Problem

48-Hour SLA Deadlines

CMS now requires payers to decide non-urgent PA requests within 48 hours and urgent within 24 hours. Manual fax workflows can't meet these standards.

27,000 Fragmented Suppliers

The U.S. DME market has over 27,000 regional suppliers with no shared digital infrastructure for prior authorization.

PA Denials Cost Billions

Prior authorization denials and delays cost the DME industry an estimated $3.4B annually in write-offs, rework, and patient attrition.

The AuthX Network

One platform, three pillars — built for the regulatory reality of 2026 and beyond.

Electronic Prior Auth

Submit, track, and receive PA decisions electronically. FHIR-native. CMS compliant. AI-assisted documentation quality check.

PA Exemption Engine

Achieve 90%+ affirmation rate and qualify for CMS PA exemption status — eliminating the PA requirement entirely for your top product categories.

Supplier Network

Join a growing network of technology-enabled DME suppliers with shared payer connections, compliance tooling, and electronic ordering.

The Regulatory Window Is Open Now

June 1, 2026
CMS PA Exemption Program live. Suppliers with 90%+ approval rate qualify today.
January 1, 2027
FHIR PA API mandate effective. All Medicare Advantage payers must support electronic PA.
📋
January 1, 2028
DMEPOS Competitive Bidding Program restarts. Remote Item Delivery categories go live.
91%
Network-wide PA approval rate
1.4 days
Avg PA decision time
$1/auth
Simple transaction pricing
6
Supplier locations on network

Simple, Transparent Pricing

Beta Access
Free

For qualifying pilot suppliers. Limited availability.

  • Full platform access
  • PA submission
  • Compliance tracking
  • Dedicated onboarding support
Standard
$850/location/mo

For production DME suppliers.

  • Everything in Beta
  • FHIR API payer connections
  • AI documentation review
  • PA exemption tracking
  • Priority support