Clover Health Launches First Real-Time Claims Exchange on CMS Aligned Network and TEFCA
Clover Health is the first payer live on a CMS Aligned Network and TEFCA, enabling real-time patient requests for clinical and claims data in standardized FHIR (USCDI v3) formats. The rollout uses Counterpart Health infrastructure and Kno2 routing to power secure nationwide interoperability with live demonstrations at HIMSS 2026.
1. Operational Milestone
Clover Health has become the first payer to go live on a CMS Aligned Network and TEFCA, responding in real time to patient-directed requests for structured clinical and claims data.
2. Technology Infrastructure
The initiative leverages Counterpart Health’s AI-powered platform and Kno2’s secure routing to standardize FHIR (USCDI v3) data exchange across providers, payers and patients.
3. Market Implications
Successful live demonstrations at HIMSS 2026 will signal nationwide feasibility of patient-directed interoperability, reinforcing Clover Health’s leadership in value-based care and data-driven member engagement.