Operon is the integration layer that wraps the UM, claims, member, and PA systems you already run and exposes them as one CMS-0057-F-conformant FHIR surface.
Provider-Payer Test Ready in weeks. No data-layer rebuild.
January 1, 2027 is firm.
Federal program participation is on the line.
Are You Ready?
Real payer stacks span multiple vendors: a UM platform, a claims system, a member portal, a PA platform, EHR feeds, clearinghouses. CMS-0057-F requires you to expose one coherent FHIR surface across all of them. WEDI's February 2026 survey identifies "delegated third parties struggling with system connectivity" as the #1 reported payer pain point.
Most CMS-0057-F vendors answer this by asking you to replace your data layer with theirs. For a multi-system payer that is a 12-to-18-month engagement, in cross-vendor coordination, on a 7-month calendar. Even when it ships, you've substituted one platform for another. The structural integration problem hasn't gone away.
Operon wraps the systems you already run. No retirements. Provider-Payer Test Ready in weeks.
We orchestrate what you already run into one conformant FHIR surface for your testing partners, and produce the public-reporting-ready evidence your compliance team will be asked for.
The Reality
In production, compliance is delivered by a combination of platforms, vendors, and internal tools, including UM systems, claims platforms, member portals, PA workflows, FHIR servers, integration engines, prior-payer connectors. No single component covers the whole rule. Orchestration across them is the actual work, and it's the #1 reported payer pain in WEDI's February 2026 survey.
The Operon Angle
We sit above the stack and connect it. Operon does not replace your UM platform, claims system, member portal, PA workflow, or FHIR server. For testing engagements, we connect through standard integration patterns (HL7 v2, X12, FHIR, REST, SFTP, message queues) and orchestrate the combined output as one CMS-0057-F-conformant FHIR surface across all six WEDI-tracked surfaces on Da Vinci IG 2.0 / 2.1 / 2.2 concurrently. Per-engagement isolated tenants. Cross-system provenance on every response.
What You Get
For Your Testing Partners
Provider EHRs, third-party apps, prior-payer systems. Operon is one stable FHIR target across all six APIs, not a per-vendor scavenger hunt.
For Your Compliance Team
Every engagement ends with a public-reporting-ready report:
The columns mirror the WEDI Interoperability Testing Directory submission template. Operon's entire scope is live today, while other directory listings publish Q-dates through 2026 and 2027.
| Surface | Versions supported | Dev test | Provider-payer test | Production | Sandbox endpoint |
|---|---|---|---|---|---|
| Coverage Requirements Discovery (CRD) | 2.0.1 / 2.1.0 / 2.2.1 concurrent | Live | Live | Live | /sandbox-api/v1/cms-0057-f/crd/ |
| Document Templates and Rules (DTR) | 2.0.1 / 2.1.0 / 2.2.0 concurrent (Standard + Adaptive) | Live | Live | Live | /sandbox-api/v1/cms-0057-f/dtr/ |
| Prior Authorization Support (PAS) | 2.0.1 / 2.1.0 / 2.2.1 concurrent | Live | Live | Live | /sandbox-api/v1/cms-0057-f/pas/ |
| Patient Access API | CARIN BB IG 2.0.0 + US Core 6.1.0 + USCDI v3 | Live | Live | Live | /sandbox-api/v1/cms-0057-f/patient-access/v2.0.0/ |
| Provider Access API | Da Vinci PDex Provider Access (latest) + Bulk Data 2.0.0 | Live | Live | Live | /sandbox-api/v1/cms-0057-f/provider-access/v2.0.0/ |
| Payer-to-Payer API | Da Vinci PDex Payer-to-Payer (latest) | Live | Live | Live | /sandbox-api/v1/cms-0057-f/payer-to-payer/v2.0.0/ |
The deadline is one half of the story. Cost uncertainty, vendor sprawl, and rollout preference are the other half. They're what makes wrapping the existing stack land instead of replacing it.
67%
of providers are unsure of total implementation cost
WEDI Feb 2026
5-15
delegated vendors per payer typical for CMS-0057-F implementation
Industry estimate (cited by Firely, 2026)
53%
of payers prefer staggered CRD → DTR → PAS rollout
WEDI Feb 2026
$15B
projected industry savings over 10 years from CMS-0057-F
CMS Final Rule analysis, 2024
Worth asking before you commit to a path. These are the trade-offs WEDI's February 2026 industry survey surfaces as the dominant readiness blockers.
Question 1
Most plans do not. Platform-replacement engagements typically run 12 to 18 months from kickoff. The deadline is January 1, 2027. Operon reaches Provider-Payer Test Ready in weeks because we wrap your existing systems instead of replacing them.
Question 2
Most plans do not. Operon sits in front of whichever combination you already run and exposes them as one CMS-0057-F-conformant FHIR surface. No retirements required.
Question 3
With Operon, every engagement produces a public-reporting-ready conformance and readiness report scoped to the CMS metric template, plus per-resource pass/fail evidence against the IG.
Authoritative references your team will reach for during a testing engagement.
The official ONC FHIR conformance test tool for CMS-0057-F implementation guides.
Open ↗Complete FHIR R4 resource definitions, search parameters, and operations. The base specification all CMS-0057-F APIs build on.
Open ↗PAS, CRD, DTR, PDex Provider Access, and PDex Payer-to-Payer. The normative specs Operon implements.
Open ↗WEDI's ongoing implementation resources: webinars, advisory letters, the Interoperability Testing Directory, and the implementation survey.
Open ↗30 minutes with someone from our team. We'll ask about the systems you already run, where you are on the CMS-0057-F calendar, and what testing you need to ship. No pitch deck, no pressure, no demo unless you ask.