SMILE PAYER-TO-PAYER SOLUTION

Built on FHIR and leveraging the Da Vinci PDex IG, Smile’s solution facilitates data exchange across payer systems and scales to meet future requirements. The platform is designed to provide payers with flexibility in how they capture opt-in and consent—whether as part of an enrollment process, or through member portal applications. It manages authentication, member matching, and record retrieval, securely storing imported data. The Payer-to-Payer API shares both native member records and those imported from other payers via a Bulk FHIR exchange endpoint.

Leveraging OAuth 2.0 and SMART Backend Services Authorization, Smile’s solution enables secure authorization, allowing members to share healthcare data without exposing sensitive information. The consent infrastructure records and executes on member consent preferences on the side of source payers. Smile ensures both payers work with the same member records using a member-matching operation with customizable rules.

Smile’s solution can bulk ingest over 2 billion FHIR resources in under 26 hours, at a ground-breaking speed of 255,000 transactions per second. It is powered by features that protect confidential data from exposure to unverified third-party applications, while ensuring that the right information is transferred to the right people.