{"id":12307,"date":"2024-07-08T09:36:33","date_gmt":"2024-07-08T09:36:33","guid":{"rendered":"https:\/\/distilinfo.com\/healthplan\/?p=12307"},"modified":"2024-07-08T09:36:33","modified_gmt":"2024-07-08T09:36:33","slug":"cms-prior-authorization-in-2024","status":"publish","type":"post","link":"https:\/\/distilinfo.com\/healthplan\/cms-prior-authorization-in-2024\/","title":{"rendered":"Navigating New CMS Prior Authorization Regulations | A Comprehensive Guide"},"content":{"rendered":"\r\n<div class=\"wp-block-rank-math-toc-block has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\" id=\"rank-math-toc\"><h2>Table of Contents<\/h2><nav><ul><li><a href=\"#understanding-the-cms-prior-authorization\">Understanding the CMS Prior Authorization<\/a><ul><li><a href=\"#uniform-standard-of-cms-prior-authorization-across-programs\">Uniform Standard of CMS Prior Authorization Across Programs<\/a><\/li><li><a href=\"#electronic-processes-for-speedy-treatment\">Electronic Processes For Speedy Treatment<\/a><\/li><\/ul><\/li><li><a href=\"#advantages-of-electronic-prior-authorization\">Advantages of Electronic Prior Authorization<\/a><ul><li><a href=\"#the-administrative-cost-is-decreased\">The administrative cost is decreased:\u00a0<\/a><\/li><li><a href=\"#patient-healthcare-treatment-is-more-efficient\">Patient healthcare treatment is more efficient:<\/a><\/li><li><a href=\"#lower-denial-rates\">Lower Denial Rates<\/a><\/li><li><a href=\"#regulatory-compliance\">Regulatory Compliance<\/a><\/li><\/ul><\/li><li><a href=\"#what-documents-are-required-for-electronic-prior-authorization\">What Documents are Required for Electronic Prior Authorization?<\/a><\/li><li><a href=\"#navigating-requirements-of-new-prior-authorization\">Navigating Requirements Of New Prior Authorization<\/a><ul><li><a href=\"#interoperability-and-prior-authorization-final-rule-0057-f\">Interoperability and Prior Authorization Final Rule 0057-F<\/a><ul><li><a href=\"#1-overall-prior-authorization-api-implementation\">1. Overall Prior Authorization API Implementation:<\/a><\/li><li><a href=\"#2-turnaround-time-for-pa-requests\">2. Turnaround Time for PA Requests:<\/a><\/li><li><a href=\"#3-denial-rationale\">3. Denial Rationale:<\/a><\/li><li><a href=\"#4-publication-of-pa-metrics\">4. Publication of PA Metrics:<\/a><\/li><\/ul><\/li><li><a href=\"#medicare-advantage-and-part-d-final-rule-4201-f\">Medicare Advantage and Part D Final Rule 4201-F<\/a><ul><li><a href=\"#1-medical-necessity-requirement\">1. Medical Necessity Requirement:\u00a0<\/a><\/li><li><a href=\"#2-pa-approvals-and-validity\">2. PA Approvals and Validity\u00a0<\/a><\/li><li><a href=\"#3-transition-period-for-new-enrollees\">3. Transition Period for New Enrollees:<\/a><\/li><\/ul><\/li><\/ul><\/li><li><a href=\"#key-takeaways-for-payers-for-new-cms-prior-authorization\">Key Takeaways For Payers For New CMS Prior Authorization<\/a><ul><li><a href=\"#partnering-with-advisors\">Partnering with advisors:<\/a><\/li><li><a href=\"#changes-priorities\">Changes priorities:<\/a><\/li><li><a href=\"#leveraging-automation\">Leveraging automation:<\/a><\/li><\/ul><\/li><li><a href=\"#conclusion-cms-prior-authorization\">Conclusion: CMS Prior Authorization<\/a><\/li><\/ul><\/nav><\/div>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">CMS Prior Authorization has declared the new rules and has aimed to digitalize the prior authorization to work it efficiently and quickly. It solves the problem of most people complaining about the prior authorization services and care they were getting. Recent updates have been made to improve the healthcare given to patients and all the care provided before authorization.<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">This blog is about the recent prior authorization rules. It covers the changes and updates applied in 2024.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"understanding-the-cms-prior-authorization\"><b>Understanding the CMS Prior Authorization<\/b><\/h2>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Insurance firms use CMS <a href=\"https:\/\/www.caqh.org\/hubfs\/CORE%20-%20Prior%20Authorization%20Whitepaper_062124-2.pdf\" target=\"_blank\" rel=\"noopener\">prior authorization<\/a> to approve many procedures, services, or needed medications for patients. It ensures patients receive the proper, affordable care with streamlined <\/span><b>cost management.<\/b><span style=\"font-weight: 400;\"> It is provided with the intended guarantee that patients receive the correct and essential care.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">The method has been complex for patient care. Sometimes, it needs to provide better services. The care and services given to patients should be clear and simple. They should be on-point and prompt when patients report them. The new rules for prior authorization care in healthcare are updated. Patients and providers will now experience hassle-free treatment without traditional paperwork. This will increase efficiency and prevent negative health consequences.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"uniform-standard-of-cms-prior-authorization-across-programs\"><b>Uniform Standard of CMS Prior Authorization Across Programs<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">One key thing to understand about the new CMS Prior Authorization program is that it applies the rules uniformly. It applies to multiple healthcare programs. These include ACA, Marketplace, Medicaid, CHIP, and other Medicaid Advantage plans. It is standardized to avoid confusion regarding the paperwork and other admin processes. Healthcare providers no longer have to deal with many long regulations. Each regulation was for a program or treatment given to patients.<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Standardization makes the process more profitable and helps patients immediately get their treatments. Standardization has more significant benefits for providers treating patients with multiple insurance plans. Providers no longer have to focus on paperwork. Instead, they can easily focus on the patient\u2019s treatment and start with it immediately.<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"electronic-processes-for-speedy-treatment\"><b>Electronic Processes For Speedy Treatment<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">We all know that traditional methods, such as lots of admin and paperwork, delay patient treatment. They also left patients unsatisfied with the care process. Earlier, stakeholders had to take a long time to analyze the whole decision-making process. They also had to align all the patients&#8217; resources before providing the treatment. This took more time than expected.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Advanced technology, like AI, can help. Electronic prior authorization can cut admin work. <\/span><b>Electronic Health Records (EHR)<\/b><span style=\"font-weight: 400;\"> track all the patient\u2019s data and medical history.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Electronic prior authorization helps automate the approval of medical services. It also handles another administrative burden: medication formalities. It ensures that healthcare services will be quickly taken into action for patients. It should cover all the medically necessary treatments and the patient\u2019s insurance plans. It enables real-time communication with patients and makes decision-making faster.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"advantages-of-electronic-prior-authorization\"><b>Advantages of Electronic Prior Authorization<\/b><\/h2>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"the-administrative-cost-is-decreased\"><b>The administrative cost is decreased:&nbsp;<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">EPA decreases the time and resources needed for administrative work. There is no need for manual processing and paperwork. It will quickly stretch patients for all the required treatment. It will also raise patient care efficiency. Overall, it saves a lot of time and resources.<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"patient-healthcare-treatment-is-more-efficient\"><b>Patient healthcare treatment is more efficient:<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">The EPA system automates all the admin processes and speeds up approval. It also helps make informed decisions. It does this by giving patients the treatment and all the needed medicines. It also gives them pre and post-treatment precautions. It focuses on delivering the treatment. It does not stick to the patient\u2019s formalities. Checking patients&#8217; data, healthcare, and medical history is completed automatically.<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"lower-denial-rates\"><b>Lower Denial Rates<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Electronic Prior Authorization boosts transparency regarding what parts are covered, reducing the denials. It will detect all the things patients need for medical treatment. The providers and insurers talk in real time. They discuss the patient&#8217;s insurance plan. It&#8217;s clear and open. Clear communication will help providers send accurate data for approval. This will lead to better alignment of requests and approvals. It will allow for appropriate requests. They will ask for better patient treatment coverage. Specific coverage will ultimately lead to patient satisfaction.<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"regulatory-compliance\"><b>Regulatory Compliance<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">The EPA system will meet the legislative requirements faster. The new rules will ensure quick treatment. Approving requests should take at most 72 hours. It streamlines prior authorization, ensuring the EPA&#8217;s punctual deadline fulfillment every time. Further, standardization will ensure that all the requirements are met. It will provide adequate healthcare to patients.<\/span><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"what-documents-are-required-for-electronic-prior-authorization\"><b>What Documents are Required for Electronic Prior Authorization?<\/b><\/h2>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><b>Patient Information<\/b><span style=\"font-weight: 400;\">: Basic patient demographics and insurance details.<\/span><\/li>\r\n\r\n\r\n\r\n<li><b>Medical Records<\/b><span style=\"font-weight: 400;\">: Relevant medical history and clinical notes supporting the necessity of the requested service.<\/span><\/li>\r\n\r\n\r\n\r\n<li><b>Prescriptions<\/b><span style=\"font-weight: 400;\">: Detailed prescription information if the request is for medication.<\/span><\/li>\r\n\r\n\r\n\r\n<li><b>Procedure Codes<\/b><span style=\"font-weight: 400;\">: Specific codes for the requested procedures or services.<\/span><\/li>\r\n\r\n\r\n\r\n<li><b>Provider Information<\/b><span style=\"font-weight: 400;\">: Details of the healthcare provider making the request, including their credentials and contact information.<\/span><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Submit these documents through the EPA system. This will ensure the agency has all it needs to decide quickly.<\/span><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"navigating-requirements-of-new-prior-authorization\"><b>Navigating Requirements Of New Prior Authorization<\/b><\/h2>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">The CMS (Centers for Medicare and Medicaid Services) issued two significant rules in 2024. It will change the payer operations before authorization. It ensures that payers must assess the impacts. They must then make changes to provide timely PA processing in their treatments. The two significant rules are;&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">1 Interoperability and Priori Authorization <a href=\"https:\/\/www.cms.gov\/priorities\/key-initiatives\/burden-reduction\/interoperability\/policies-and-regulations\/cms-interoperability-and-prior-authorization-final-rule-cms-0057-fv\" target=\"_blank\" rel=\"noopener\">Final Rule 0057-F<\/a><\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">2 Medicare Advantage and Part D <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/2024-medicare-advantage-and-part-d-final-rule-cms-4201-f\" target=\"_blank\" rel=\"noopener\">Final Rule 4201-F<\/a><\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Let\u2019s understand each of them in a bit of detail to make it more transparent regarding the set of rules for 2024.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"interoperability-and-prior-authorization-final-rule-0057-f\"><b>Interoperability and Prior Authorization Final Rule 0057-F<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">The rules go beyond the ground rules that CMS-4201-F sets. They cover interoperability and CMS Prior Authorization. These healthcare policy updates have introduced big requirements. They must be better implemented by January 2027.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"1-overall-prior-authorization-api-implementation\"><b>1. Overall Prior Authorization API Implementation:<\/b><\/h4>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><span style=\"font-weight: 400;\">MA plans should implement a CMS Prior Authorization Application Programming Interface (API)\u00a0<\/span><\/li>\r\n\r\n\r\n\r\n<li><span style=\"font-weight: 400;\">The particular API should include a list of all covered items and services<\/span><\/li>\r\n\r\n\r\n\r\n<li><span style=\"font-weight: 400;\">It should require specific documentation and support before authorization requests and responses.\u00a0<\/span><\/li>\r\n\r\n\r\n\r\n<li><span style=\"font-weight: 400;\">It should share the required documentation and support prior authorization requests and responses.<\/span><\/li>\r\n\r\n\r\n\r\n<li><span style=\"font-weight: 400;\">You can meet the need using a FHIR-based API. You can also use the existing X12278 standard for prior authorization transactions.<\/span><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">More rules affect the health plan. They are for prior authorization processes. They should start by January 1, 2026.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"2-turnaround-time-for-pa-requests\"><b>2. Turnaround Time for PA Requests<\/b><span style=\"font-weight: 400;\">:<\/span><\/h4>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><span style=\"font-weight: 400;\">The PA requests should be processed within 7 days.\u00a0<\/span><\/li>\r\n\r\n\r\n\r\n<li><span style=\"font-weight: 400;\">Expedited requests must be processed within 72 hours.\u00a0<\/span><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"3-denial-rationale\"><b>3. Denial Rationale<\/b><span style=\"font-weight: 400;\">:<\/span><\/h4>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><span style=\"font-weight: 400;\">Payers should give the member-specific denial reason for non-drug PA requests. This applies regardless of submissions.\u00a0<\/span><\/li>\r\n\r\n\r\n\r\n<li><span style=\"font-weight: 400;\">It&#8217;s a requirement for the existing rules. She must deny and then tell members and providers.\u00a0<\/span><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"4-publication-of-pa-metrics\"><strong>4. <\/strong><b>Publication of PA Metrics<\/b><span style=\"font-weight: 400;\">:<\/span><\/h4>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><span style=\"font-weight: 400;\">Payers should publish their prior authorization metrics on their website for the public.\u00a0<\/span><\/li>\r\n\r\n\r\n\r\n<li><span style=\"font-weight: 400;\">The initial set of metrics should always be reported by March 31, 2026.\u00a0<\/span><\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"medicare-advantage-and-part-d-final-rule-4201-f\"><b>Medicare Advantage and Part D Final Rule 4201-F<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">CMS will declare and regulate a strict guideline for the Medicare Advantage in 2024. This guideline is for CMS Prior Authorization. Payers need to understand a few things, and they are&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"1-medical-necessity-requirement\"><b>1. Medical Necessity Requirement:&nbsp;<\/b><\/h4>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Medicare Advantage plans should use CMS prior authorization. They should only use it for medical decisions. These are based on the need for diagnosis and other clinical rules. It should not be violated against standard checkups or just for use.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"2-pa-approvals-and-validity\"><b>2. PA Approvals and Validity&nbsp;<\/b><\/h4>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">PA approvals should last longer. This change should help avoid care disruption. This decision is made based on the provider\u2019s recommendation for further treatment.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h4 class=\"wp-block-heading\" id=\"3-transition-period-for-new-enrollees\"><b>3. Transition Period for New Enrollees:<\/b><\/h4>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">New MA health plan enrollees should receive within 90 days of transition. During this, PA is not required for the course of treatment, even if it is started with an out-of-network provider.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<p><b>4. Utilization Management Committee:<\/b><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">MA plans should have a Utilization Management Committee. It will review medical policies and make necessary determinations. It will do this annually. It will match Medicare\u2019s NSDs and LCDs. NSDs are National Coverage Determinations, and LCDs are Local Coverage Determinations.<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">The CMS Prior Authorization rules ensure patients have timely access to care. They do this by quickly reducing the barriers to PA. The main goal is to treat patients well. This goal has fewer formalities. It focuses more on good healthcare.<\/span><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"key-takeaways-for-payers-for-new-cms-prior-authorization\"><b>Key Takeaways For Payers For New CMS Prior Authorization<\/b><\/h2>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">The two 2024 final rules will have two impacts. Payers must assess their processes and payment strategies. They need to do this to meet the prior authorization requirements. To compile the regulations with the CMS, payers need to take care of the following things:&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"partnering-with-advisors\"><b>Partnering with advisors:<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">To make changes fast, always collaborate with expert advisors. Take the team-based approach. It&#8217;s essential for compliance.<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"changes-priorities\"><b>Changes priorities:<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Some operational challenges and deficiencies prioritize the necessary changes. It is essential to develop an action plan that is based on the mentioned needs.&nbsp;<\/span><\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"leveraging-automation\"><b>Leveraging automation:<\/b><\/h3>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">We use technology to automate processes. It also manages long queues, tracks turnaround times, and prioritizes emergency cases. It also provides alerts. This will help reduce complexity and minimize human-made errors, ensuring <\/span><b>regulatory compliance.<\/b><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Most of the prior authorization requirements will take and boost in 2026. This is the right time to prepare appropriately. Payers should assess their current operations. They should identify their needs and capabilities. They can do this with tools and process changes.<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">You need thoughtful planning to find trustworthy advisors. They can help and you can contact them about MHK. It is essential to stay informed with the latest healthcare news and updates.<\/span><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"conclusion-cms-prior-authorization\"><strong>Conclusion: CMS Prior Authorization<\/strong><\/h2>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">CMS Prior Authorization marks the significant approach and steps towards modernizing healthcare processes. Boosting electronic systems will always prioritize the healthcare system by improving patient care.<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">Electronic prior authorization ensures reduced admin work and traditional paperwork from the provider. This is the right time for payers to evaluate their current operations. They must make needed changes and use technology to meet new requirements. These requirements aim to improve treatment and create a patient-focused healthcare system.<\/span><\/p>\r\n\r\n\r\n\r\n<p><span style=\"font-weight: 400;\">For more updates on payer news, <\/span><b>health trends<\/b><span style=\"font-weight: 400;\">, <\/span><b>medical advancements<\/b><span style=\"font-weight: 400;\">, and <\/span><b>health news, payer latest update<\/b><span style=\"font-weight: 400;\"> subscribe to <\/span><a href=\"https:\/\/distilinfo.com\/healthplan\/\"><span style=\"font-weight: 400;\">DistilInfo HealthPlan<\/span><\/a><span style=\"font-weight: 400;\"> and stay ahead in the ever-changing healthcare industry. Follow us for regular updates and valuable industry insights.<\/span><\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>CMS Prior Authorization has declared the new rules and has aimed to digitalize the prior authorization to work it efficiently&#8230; <a href=\"https:\/\/distilinfo.com\/healthplan\/cms-prior-authorization-in-2024\/\" style=\"white-space: nowrap;\">Continue Reading <i class=\"fas fa-long-arrow-alt-right\" style=\"vertical-align: middle;\"><\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":11952,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[1],"tags":[40,228],"class_list":{"0":"post-12307","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-distilinfo-originals","8":"tag-cms","9":"tag-prior-authorization","10":"entry"},"_links":{"self":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12307"}],"collection":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/comments?post=12307"}],"version-history":[{"count":4,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12307\/revisions"}],"predecessor-version":[{"id":12311,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12307\/revisions\/12311"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media\/11952"}],"wp:attachment":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media?parent=12307"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/categories?post=12307"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/tags?post=12307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}