For new & launching MA plans

Launch a compliant MA plan without building the tech.

Member search, FHIR Plan-Net, network adequacy proof, and the member experience — production-ready in weeks, white-labeled to your plan.

Why now

You're standing up a plan, and CMS expects four capabilities from day one — the clock is already running before you've enrolled your first member.

  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

The challenge

What's standing in the way.

No payer-tech team to build it.

A directory, a FHIR API, adequacy analytics, and an accessible member site — that's a platform, not a project. Hiring for it delays your launch.

The launch date depends on it.

A directory or adequacy gap can stall your CMS approval and your go-live. The member-facing pieces aren't a phase-two nicety — they gate day one.

Compliance is a moving target.

Directory accuracy, 90-day verification, the 2027 FHIR mandate, Plan Finder publication — all landing as you launch. You need it handled, not tracked.

Why InsureLytix

Built for exactly this.

01

Launch without a tech build.

No payer-tech team to hire. We carry product, compliance, hosting, and updates — you stand up the plan and the member experience is already there.

02

Live in weeks, not quarters.

A white-labeled tenant goes live in roughly one week once your data is ready — and it ships 2027-ready out of the box.

03

One source of truth.

Web search, the FHIR API, and your adequacy filing all run off the same verified directory data. No drift between operations and compliance.

How it works

From your data to live — in about a week.

  1. 1

    Share your data

    Provider/formulary data in, AI-assisted validation, atomic batch load.

  2. 2

    We deploy

    White-labeled tenant on your domain — search, FHIR API, dashboards.

  3. 3

    Certify in parallel

    508/ADA, FHIR conformance, accessibility, and audit logging — alongside, not after.

  4. 4

    Go live

    Members search day one; the adequacy filing exports from the same data.

Ready when you are

Launch compliant. Stay compliant.

Plans have launched on this with no provider-tech team of their own. Yours can too.