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FHIR to X12 Webinar: Transform FHIR Prior Authorizations to/from X12 278

PilotFish Webinar: Transform FHIR Prior Authorization to and from X12 278

Webinar no longer available, use Contact Us form for questions.

Wednesday, November 19 at 10am PST | 1pm EST

Ready to meet CMS-0057-F mandates and avoid penalties? You’re invited! Join us as speakers Gary Beatty, past-chair of ASC X12, and Jennifer Flavin reveal how PilotFish tackles one of healthcare’s most pressing challenges: Transforming HL7 FHIR prior authorizations to/from X12 278 transactions.


 

Payers and providers are racing to modernize their data exchange workflows to meet the 2026-2027 FHIR CMS-0057-F mandates for prior authorizations. The Challenge: Most backend systems still rely on X12 EDI and the 278 transaction for service review and authorization. PilotFish’s live demo will show how to bridge this gap – with no need to rip and replace legacy infrastructure. DEMO HIGHLIGHTS – See PilotFish’s graphical assembly line interface process translate FHIR resources to X12 278 PA requests and responses:

  • FHIR Intake: A FHIR-based prior authorization request received via RESTful API.
  • Data Mapping: Using PilotFish’s visual drag & drop Data Mapper, the FHIR JSON payload is converted to XML and mapped to the X12 278 format.
  • Validation: The resulting X12 message is validated against SNIP Types 1–7 to ensure compliance and data integrity.
  • Routing: The transaction can be securely transmitted to a simulated payer endpoint via SFTP.

Learn how prior authorization workflows are automated and audited end-to-end with PilotFish’s built-in support for both FHIR and X12 standards. Plus Your Real-world Operational Pain Points Addressed in Real Time

  • Reducing delays in care with streamlined prior authorization submissions
  • Improving transparency with built-in decision timeframe tracking
  • Enabling CMS compliance with support for Patient Access and Provider Access FHIR APIs

 

PilotFish is already helping payers meet the CMS deadlines. You’re invited to join speakers X12 expert Gary Beatty and Jennifer Flavin, Wednesday, November 19 at 10am PST | 1pm EST and see how PilotFish automates data transformation, validation and API enablement, ensuring compliance with CMS-0057-F.

Meet Our Experts

Gary Beatty, past chair of ASC X12, webinar speaker

Gary Beatty
PilotFish
EDI Subject Matter Expert
Past-chair of ASC X12 has over 35 year experience in health care EDI for payers, providers, clearinghouses, and governmental agencies.

Jennifer Flavin, Director of Channel Marketing at PilotFish, webinar speaker

Jennifer Flavin
PilotFish
Director, Channel Marketing
Over 15 years of experience in healthcare with major EMR integration and technical implementations for clients across the industry.

 

About PilotFish

PilotFish, Inc. is a leader in integration and interoperability solutions. It provides tools and expertise to simplify the challenges of data transformation and exchange. As the healthcare industry transitions to FHIR-first architectures, PilotFish is at the forefront with standards-based, future-ready technology. With proven solutions tailored to the needs of healthcare, insurance and other industries, PilotFish enables organizations to achieve faster implementation times, greater efficiency and lower costs. For more information about PilotFish’s EDI solutions, visit X12 EDI Integration.


 

X12, chartered by the American National Standards Institute for more than 35 years, develops and maintains EDI standards and XML schemas.

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