OmniCompli
CMS Suite
CMS SUITE
Operationalize Core CMS Requirements
OmniCompli CMS Suite operationalizes CMS-0057F interoperability requirements through a unified, rules-driven compliance framework grounded in computability. It translates federal mandate specifications into transparent enforceable logic that executes consistently at scale, reducing variability caused by manual review and inconsistent interpretation.
As part of the OmniCompli family, CMS Suite is a unified rules layer, leveraging FHIR®-based inputs to support audit-ready outcomes across evolving regulatory programs. It delivers predictable auditable compliance outcomes aligned to regulations.
Smile Digital Health is Drummond Group certified for CMS-0057-F.
The Risks of Partial Compliance
Payers who started late, or haven’t fully planned for the complexity and nuance of the CMS-0057-F compliance risk will more than miss the January 1st 2027 enforcement deadline. Late or incomplete implementations, partial solutions or legacy workarounds can expose the organization to regulatory scrutiny, financial penalties, operational disruption, provider and member dissatisfaction and competitive disadvantage.
Organizations approaching the January 1, 2027 enforcement milestone must ensure that regulatory behavior is encoded into infrastructure, and not left to discretionary interpretation or downstream reconciliation. CMS Suite provides that infrastructure foundation.
What CMS Suite Makes Possible
Payers achieve full compliance with CMS-0057-F with CMS Suite, a flexible and comprehensive modernization solution.
With OmniComli CMS Suite organizations can:
Meeting CMS-0057-F with façade FHIR APIs introduces layers of mapping, duplication, and long-term technical debt. With OmniCompli CMS Suite data is stored, processed, and governed directly in FHIR. This simplifies compliance with evolving Implementation Guides, reduces integration overhead, and establishes a durable interoperability layer as regulatory requirements expand.
Built native to FHIR, without retrofitting legacy systems.
While CMS-0057-F allows for continued use of the X12 format, converting data system-wide into FHIR delivers both immediate and long-term value. A unified FHIR data model reduces duplication, eliminates silos, and enables consistent execution across compliance workflows. As the industry continues its shift toward FHIR-based exchange, organizations that standardize early gain speed, clarity, and resilience.
Usable X12 formats where required, with FHIR for strategic long-term modernization.
Trust is in The Data
CMS Suite Includes
OmniCompli CMS Suite delivers pre-built, standards-compliant APIs to meet federal mandates (CMS-0057-F) immediately, without adding complexity. Whether organizations need an out-of-the-box product, or some basic API integrations to fit within your existing tech stack, CMS Suite is a flexible solution that helps you achieve compliance in a timely manner. This compliance package includes:
Shareability of all member data with in-network providers, including identification modules, proper authorization and secure consent management.
Publicly available PA metrics, details and decisions, with embedded report and audit capabilities.
Automated workflows between payers to enable continuity of care, with security safe-guards, consent modules, ID matching, and secure high-volume data exchange.
Publicly available and searchable provider directory using FHIR-based APIs to make better care decisions.
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See how CMS Suite powers your modernization strategy with clarity, consistency, and confidence.