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InsureLytix

Provider directory, FHIR Plan-Net, and network adequacy analytics for U.S. Medicare Advantage plans. CMS-compliant by default.

InsureLytix Inc. · Dover, Delaware

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Compliance readiness check

See where your plan stands — in two minutes.

Answer 12 questions and get an instant readiness score across the four areas CMS is watching most. Request the full report to see every gap mapped to its citation.

12 questions · ~2 minutes

How CMS-ready is your plan's website & directory?

A quick self-assessment across directory accuracy, FHIR interoperability, accessibility, and member-website content. You'll get an instant readiness score on screen, and the full report — every gap mapped to its CMS citation — emailed to you as a PDF.

This is a readiness assessment, not a compliance certification. It's informational only — verify against current CMS guidance with your compliance team.

The clock

What's driving the urgency.

The directory and interoperability rules tightened through 2026–2027, and accuracy goes public on Medicare Plan Finder. Here's the timeline your readiness is measured against.

  1. Now

    Submit, update, attest.

    Submit directory data to CMS, update within 30 days of any change, and attest annually that it's accurate.

    42 CFR §422.111(m)

  2. In effect

    90-day verification.

    Verify every provider's directory record at least once every 90 days — required since Jan 2026 (REAL Health Providers Act).

    CMS-4208-F2

  3. PY2027

    Public on Plan Finder.

    Your provider directory goes public on Medicare Plan Finder — accuracy becomes a competitive signal.

    CMS-4208-F2

  4. Jan 2027

    Interoperability APIs.

    Provider Access, Payer-to-Payer, and Prior Authorization APIs come due (the public FHIR Provider Directory API is already required).

    CMS-0057-F

  5. PY2029

    Published accuracy score.

    MA organizations must prominently display their provider-directory accuracy score; CMS publishes it too.

    CMS-4208-F2