Payer-Ready Checklist

Technical due diligence items for HealthTech startups seeking Payer or Provider contracts. Use this to self-assess before your technical review.

HTI-1 & USCDI

USCDI v3 data class mapping documented and validated

US Core 6.1.0 (or equivalent) FHIR implementation in place

Algorithm transparency (b)(11) / DSI documentation prepared

Anti–information blocking attestation and evidence

FHIR & Interoperability

FHIR R4 API endpoints functional and documented

EHR/EMR integration paths validated (e.g., Epic App Orchard, Azure FHIR)

Clinical data integrity checks (parity, completeness) in place

MHMDA & Privacy

MHMDA privacy requirements mapped to engineering controls

PHI handling and de-identification strategy documented

BAA and data processing agreements in place

Audit & Documentation

Architecture diagrams and data flow documentation current

End-to-end test coverage for critical clinical paths

Evidence package ready for technical due diligence review

Not sure where you stand? Start with an intake call to describe systems and constraints. Scope and fees are confirmed in your SOW—Starter Audit TAP begins at $3,000.

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