Health Plans
Interoperability That Lowers Cost and Unlocks New Value
From CMS compliance to fully electronic prior authorization — modernize data exchange without replacing core systems.
HealthLX removes data complexity so you can scale interoperability across your entire business.
Canonical mapping (CoCo) eliminates per-project integration debt
Standardized data architecture → future-ready expansion
Rapid enablement for CMS-0057, CMS-9115, USCDI V1- V3
Ability to connect to multiple FHIR server connections
Key Use Cases
Our healthcare expertise and focus on composable architecture with Purpose-Built Components™ provide you with the most flexible interoperability solution in the market.
CMS Required APIs (Patient Access, Provider Access, Payer-to-Payer)
Fully Electronic Prior Authorization (ePA)
Provider Directory data quality for Stars/HEDIS
FHIR-ready analytics pipelines
Market expansion + delegated model enablement
OUR APPROACH
to each target market is guided by a five-dimension journey that serves as our baseline for success. We begin by reducing cost, removing unnecessary financial barriers that limit access and scalability. From there, we create efficiencies by streamlining processes, improving workflows, and optimizing resources. These efficiencies unlock the ability to create opportunities, allowing organizations to innovate, expand capabilities, and adapt to evolving needs. With these opportunities in place, we enable success by empowering stakeholders with the tools, insights, and support required to achieve meaningful outcomes. Ultimately, every step in this journey leads to our most important goal: improving patient health, delivering better care experiences and measurable, lasting impact.
