Black Book FHIR-Based Payer Interoperability Report

This document is a technical report detailing the 2026–2027 Black Book payer interoperability and electronic prior authorization solutions. It outlines the methodology used for evaluating vendor performance in FHIR-based solutions, including survey participation, data capture, and scoring metrics. The report presents insights from 764 qualified respondents across various organizations, including commercial health plans, Medicaid agencies, and provider organizations. It specifies the criteria for vendor evaluation, including operational excellence across 18 performance areas. The document also discusses the statistical confidence of the data, stating that findings support a 95% confidence level with a maximum sampling error of approximately ±3.5 percentage points. Information on the distribution of respondents by role and organization type further adds to the context of the data collected. The report is structured to facilitate strategic planning decisions in the healthcare interoperability sector.