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 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 requirements mapped to engineering controls

PHI handling and de-identification strategy documented

BAA and data processing agreements in place

Architecture diagrams and data flow documentation current

End-to-end test coverage for critical clinical paths

Evidence package ready for technical due diligence review

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