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Smile Digital Health is the world’s premiere enterprise FHIR-vendor with a complete and comprehensive out-of-box CMS Suite.

Our Smile Digital Health Data Platform powers several Blue Cross Blue Shield clients and the BCBS Association, and helps them achieve compliance, innovate with FHIR, reduce costs, and provide higher ROI.

If you missed us at the event or require more information on your CMS Strategy, book a meeting here.

Smile was the #1 KLAS rated vendor chosen by payers in 2021 to help them implement the CMD-9115-F Rule, with our offerings touching over 100 million lives.

We build our products with the future-state of data exchange in mind and today, our CMS Suite supports all requirements of the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). Our add-on capabilities refine workflows, and future-proof investments, far beyond compliance mandates. 

Our BCBS clients want:

  • A proven vendor for the upcoming CMS-0057-F mandates,

  • A secure and scalable modular implementation to fill their interoperability gaps and integrate with their current architecture,

  • A competitive edge in the market, including higher quality scores, better efficiencies, and improved patient outcomes,

  • Simplified and automated Prior Authorization (PA) workflows, saving time and money,

  • A consolidated and scalable data modernization strategy with better ROI.

With Smile’s CMS Suite, our BCBS clients can:

  • Achieve a 70% reduction in their operational costs,

  • Lower unnecessary costs and risks associated with care delays,

  • Enhance decision-making at the point of care through our Clinical Reasoning Engine

  • Improve patient care with real time prior authorization processes

  • Identify and address care gaps proactively

Don’t wait until just before the enforcement date (January 1st 2027) to evaluate CMS vendors and solutions. Talk to us today to learn how we are supporting our BCBS clients, and how you can position yourself in the same way.