Prior Authorization API Solution
Location:
California, United States
Posted on:
Dec 24, 2025
Deadline:
Jan 30, 2026
Summary:
Seeking a prior authorization API solution compliant with CMS Final Rule, integrating with QNXT and Jiva for Medicare Advantage and Medi-Cal plans in California.
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(1) Vendor needs to provide prior authorization API solution. – The solution must: – Implement Prior Authorization APIs per CMS Final Rule – Integrate with QNXT and Jiva – Support real-time workflows, security, and compliance – Provide robust reporting and audit capabilities – Prior Authorization API solution that complies with the Federal Final Rule, integrates with QNXT and Jiva, and supports operational needs for Medicare Advantage and Medi-Cal plans. (2) All the questions must be submitted no later than January 9, 2026.
