WEDI CMS-0057-F Testing Directory Questionnaire for Organizations Survey

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* 1. Date Submitted/Updated

Date / Time

Date

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* 2. Submission Type

Initial submission

Update to previous submission

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* 3. Type of Organization

Vendor (i.e., EHR developer, app developer, software vendor)

Health Plan

Clearinghouse

Provider

Health Information Exchange (HIE)

Qualified Health Information Network (QHIN)

Other (please specify)

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* 4. Type of Organization interested in testing with (select all that apply)

Vendor (i.e., EHR developer, app developer, software vendor)

Health Plan

Clearinghouse

Provider

Other (please specify)

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* 5. Organization Name

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* 6. Contact Name

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* 7. Contact Phone and/or Email

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* 8. Organization URL to dedicated CMS-0057-F testing page

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* 9. APIs Available for Testing: Coverage Requirements Discovery (CRD)

Implementation Guide Versions

Lines of Service

Endpoints

Date Available for Testing (MM/DD/YYYY)

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* 10. APIs Available for Testing: Documentation Templates and Rules (DTR)

DTR Questionnaire – Standard

DTR Questionnaire - Adaptive

Implementation Guide Versions

Lines of Service

Endpoints

Date Available for Testing (MM/DD/YYYY)

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* 11. APIs Available for Testing: Prior Authorization Support (PAS)

Implementation Guide Versions

Lines of Service

Endpoints

Date Available for Testing (MM/DD/YYYY)

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* 12. APIs Available for Testing: Payer-to-Payer Access API

Implementation Guide Versions

Lines of Service

Endpoints

Date Available for Testing (MM/DD/YYYY)

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* 13. APIs Available for Testing: Provider Access API

Implementation Guide Versions

Lines of Service

Endpoints

Date Available for Testing (MM/DD/YYYY)

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* 14. APIs Available for Testing: Patient Access API

Implementation Guide Versions

Lines of Service

Endpoints

Date Available for Testing (MM/DD/YYYY)

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* 15. Type of Testing

Sandbox

Production ready

Connections only

Other (please specify)

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* 16. Testing Types

Integration testing

EHR-QHIN-Payer testing

EHR-payer end-to-end testing

Load testing, separate from FHIR compliance

Other (please specify)

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* 17. Standard Format

FHIR only

Converting between FHIR and X12

Other (please specify)

WEDI CMS-0057-F Testing Directory Questionnaire for Organizations

Question Title

* 1. Date Submitted/Updated

Question Title

* 2. Submission Type

Question Title

* 3. Type of Organization

Question Title

* 4. Type of Organization interested in testing with (select all that apply)

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* 5. Organization Name

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* 6. Contact Name

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* 7. Contact Phone and/or Email

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* 8. Organization URL to dedicated CMS-0057-F testing page

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* 9. APIs Available for Testing: Coverage Requirements Discovery (CRD)

Question Title

* 10. APIs Available for Testing: Documentation Templates and Rules (DTR)

Question Title

* 11. APIs Available for Testing: Prior Authorization Support (PAS)

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* 12. APIs Available for Testing: Payer-to-Payer Access API

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* 13. APIs Available for Testing: Provider Access API

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* 14. APIs Available for Testing: Patient Access API

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* 15. Type of Testing

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* 16. Testing Types

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* 17. Standard Format

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* 18. Completed Testing Examples (i.e., what was tested, testing entities, date completed)

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* 19. Additional Information