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Healthcare data that moves safely between systems

Payers, providers and partners each run their own systems, and the rules governing what passes between them are not negotiable. We build and operate the interfaces that carry it.

HL7 v2 & FHIR R4X12 837 / 835 / 834HIPAA-aligned hostingPatient & provider portals

Most healthcare programs we are called into are not short of software. They are short of a dependable path between the systems already bought — and that path is where the cost, the delay and the audit risk actually sit.

Expertise & outcomes

What we bring, and what it changes

Fragmented clinical and administrative systems, strict interoperability mandates and rising cost pressure make it hard to move patient data safely between payers, providers and partners.

Filed under Health & life sciences
Our expertise
HL7 / FHIR interoperability
EDI 837, 834 and 835 processing
HIPAA-aligned cloud hosting
Patient and provider portals
Business outcomes
Faster claims and eligibility cycles
Fewer manual data hand-offs
Audit-ready compliance posture
A single view of the patient record
The pressure

What makes healthcare integration its own discipline

Four constraints show up in nearly every engagement, and they shape the design long before anyone picks a platform.

Mandated formats

HL7, FHIR and X12 are not house conventions that can be bent to fit. A partner rejects whatever does not conform, and the transaction stops there.

Fragmented records

Clinical, administrative and financial systems each hold part of the patient record. None of them holds the whole of it, and no two agree on the identifier.

Manual hand-offs

Rekeying between payer portals is where eligibility errors, duplicate claims and unexplained denials are created — one keystroke at a time.

Privacy obligations

Access, retention and transport all have to be demonstrable after the fact, not asserted in a policy document written before go-live.

Transaction sets

The X12 sets we run in production

Healthcare data moves on a fixed vocabulary. These are the sets our integrations are built, monitored and reconciled against.

837

Claim submission — professional, institutional and dental

835

Remittance advice and payment posting

834

Benefit enrollment and maintenance

270/271

Eligibility and benefit inquiry and response

276/277

Claim status request and notification

278

Prior authorization request and review

999

Functional acknowledgement and error handling

Payer onboarding

How a new trading partner goes live

  1. Enrollment

    Payer or clearinghouse paperwork, connectivity and credentials, with the transport — secure SFTP or AS2 — agreed before any mapping starts.

  2. Mapping

    Your data model mapped to the partner companion guide, then validated against that guide rather than against an assumption about it.

  3. Parallel run

    Live volume through both routes at once, with differences reconciled daily until the new one has stopped being interesting.

  4. Cutover

    Switched over with acknowledgements reconciled end to end, so a silent failure can never be mistaken for a clean day.

  5. Monitoring

    Rejections, 999s and denial reasons reported where the operations team already works, not in a console nobody opens.

Compliance

Audit-ready is a build decision

Compliance posture is settled when the integration is designed — where data lands, who can reach it, how long it is held, and what gets written down each time it moves. Retrofitting that onto a pipeline already carrying live claims costs several times what building it in costs.

We host on HIPAA-aligned cloud infrastructure, keep transport encrypted end to end, and make the audit trail a queryable part of the system rather than a log file somebody has to go and find the week the auditor arrives.

Start with your sector

Tell us which of these you operate in and where the systems are getting in the way. We will come back with the practices, the people and a realistic sequence.

Talk to our expertsCall the team
+1-562-916-3390 · Los Angeles, CA