
HI
INTEROPERABILITY
CONVERT DATA TO FHIR
Timberly Williams
SUPPORTING 50M+ PATIENTS












HIPAAS PRODUCTS
CONVERT ANY DATA TO FHIR
Point, Validate and Convert
Included in the platform is a Data Flow and Data Mapping Editor, File Loading and FHIR resources Monitoring and data validation and duplication checks . The platform has pre-built components for legacy interoperability data format standards as well as pre-built extensible data transformations between modern and legacy formats, including:
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Connect Anything
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Consistent Interoperability with multiple FHIR versions
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Collect and Relate any Data and Custom CSV files
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Connectivity to leading EMR
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HL7 to FHIR Converter
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Amazon HealthLake
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Connectivity to leading Payer Systems
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EDI X12 ( 834, 837 , 835 ) to FHIR Converter
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Prior Authorization FHIR API - 278 to FHIR
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Payer data Integration solved
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Clinical data Integration solved
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Genomics data integration solved
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Interoperability enabled – Connect anywhere
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Real time and Batch Loading solved
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Received & Transmit Data Across a Variety of Platforms
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Maintain HIPAA Compliance
LOAD TO ANY FHIR DATA STORE
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We Provide out of box HiPaaS FHIR Repository
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Load to AWS HealthLake
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Load to Microsoft Azure
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Load to HAPI Server
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Load to any FHIR compatible Repository

Enable
CMS-9123 for Prior Auth processes
Convert existing EDI to FHIR Prior Auth Process OR
Build new Prior Auth process with your Auth system in FHIR CMS compliance

Enable Patient Access Final Rules (CMS-9115-F)
Based on United States Core Data for Interoperability (USCDI) FHIR specs, we support all resources required for patient access API. CARIN profiles, CMS Blue Button and Da Vinci Use cases.
Payers are required to make a patient’s claims and encounter data available via the Patient Access API.
HL7 FHIR® Da Vinci PDex IG: Version STU 1.0.0. URL: http://hl7.org/fhir/us/davinci-pdex/STU1
HL7 FHIR® US Core IG STU 3.1.0. The PDex IG is based on the US Core IG, with the following additions designed for payer-related use cases.
FEATURES
AUTHENTICATION
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Oauth 2.0
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Authenticate with LDAP or SSO
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Authenticate with Member Portal
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Authorize via HiPaaS
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Validate FHIR Transactions
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Load in AWS , Snowflake or any FHIR Data Lake.
FULL API INTEGRATION
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Read, Update, Insert API
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Use Same data across
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API driven 3rd Party Consent
SINGLE VIEW OF PATIENT DATA
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Load data from multiple EHR systems
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Load NLP and Other Unstructured Documents
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Load Telehealth Videos
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Index Data by Patient
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Build relationship and Patient Identifier
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Plugin AI/ML Algorithms
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Develop Preventive Care Plan
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Outcomes Management
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Develop Care Plan
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Analyze data on any BI tool
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Submit Referrals and Prior Authorizations
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Manage Patient Conditions / Diagnosis
POINT & LOAD ANY HEALTHCARE DATA
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POINT & LOAD ANY HEALTHCARE DATA
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X12 EDI data
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FHIR
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HL7
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Continuity of Care Documents (CCDs)
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Legacy continuity of care records (CCRs)
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Genomics data
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Custom Formats
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FHIR Validations
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Duplicate checks
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EDI Validation
SAVE TIME
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Save time on Loading data
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Save time on data correction
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Save time on reloads
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Save time on searching transactions.
NOTIFICATIONS
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Data correction notifications
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File delay notification
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Validation Error notification
FHIR RESORUCES


PATIENT ACCESS API
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C4BB Coverage
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C4BB ExplanationOfBenefit Outpatient Institutional
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Inpatient and Outpatient (Institutional)
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C4BB ExplanationOfBenefits Pharmacy
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C4BB ExplanationOfBenefit Professional NonClinician
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C4BB Organization
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C4BB Patient
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C4BB Practitioner
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AllergyIntolerance
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Immunizations
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Condition (Problem)
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Procedure
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FamilyMemberHistory
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CarePlan
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Goal
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CareTeam
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Clinical Impression AdverseEvent DetectedIssue RiskAssessment Diagnostics Report Others..
PROVIDER API
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274 to Da vinci Use Case Mapping
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274 to FHIR USCDI Resoruces Mapping
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Enable Access via App or Website
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Plan-Net Endpoint
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Plan-Net HealthcareService
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Plan-Net InsurancePlan
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Plan-Net Location
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Plan-Net Network
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Plan-Net Organization
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Plan-Net OrganizationAffiliation
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Plan-Net Practitioner
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Plan-Net PractitionerRole
PAYER TO PAYER API
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Payer to payer protocol
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Payer to Payer FHIR Profiles
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Payer to Payer Connectivity
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On Boarding
GET STARTED
Invest your time where it's needed. Set it up once and auto-scale
HIPAAS supports AWS Cloud, Azure or GCP or On-Prem for Enterprise customers.
