Web portal use for prior authorization is widespread and the pain points associated with usage are vast. Mitigating some of these pain points today via an operating rule allows for near-term relief and builds a bridge towards familiarity and consistency with the transaction standard. The standardization of portals supports an interim strategy to bring greater consistency to web portals given current widespread industry use, with a long-term goal of driving adoption standard transaction.
The focus of the is on the system availability requirements and using X12/v5010 278 Request and Response TR3 or base standard implementation names and standard labels for data fields to standardize portal usage for providers, which supports the HIPAA-mandated standard transaction.