Transforming Healthcare with FHIR-Powered Interoperability

We collect, standardize, and share healthcare data to improve care, streamline processes, and ensure compliance—driving better outcomes for payers, providers, and patients.

banner

$42M

Average annual cost of inefficient data management for large payers

86%

Reduction in prior authorization time with integrated data systems

78%

of healthcare leaders cite data fragmentation as their top operational challenge

Passionate – Dedicated – Professional

Data Fragmentation Is Crippling Healthcare Operations

For payer organizations, fragmented healthcare data isn’t just an inconvenience—it’s an existential threat to operational efficiency and member outcomes. The consequences are felt across your entire organization:

Skyrocketing Operational Costs

Manual data reconciliation across incompatible systems drives up administrative expenses by 35% compared to organizations with streamlined data ecosystems.

Regulatory Compliance Nightmares

Meeting CMS interoperability mandates becomes nearly impossible when your data is locked in disparate systems—putting your organization at risk of significant penalties.

Care Coordination Breakdown

Without a unified data foundation, your care management teams make decisions based on incomplete information, leading to duplicative care, unnecessary utilization, and member dissatisfaction.

Innovation
Stagnation

Your analytics and digital transformation initiatives remain bottlenecked by data access challenges, preventing you from competing with more agile market entrants.

The longer fragmented healthcare data persists in your organization, the more your competitive position erodes. While you struggle with disconnected systems, innovative payers are deploying integrated data environments that enable real-time decision-making, personalized member experiences, and dramatic operational efficiencies. Without a unified data strategy, the gulf between market leaders and laggards will only widen—potentially relegating your organization to permanent disadvantage in an increasingly competitive landscape.

Healthcare data is often trapped in different systems, making it hard for payers, providers, and patients to get the full picture. Health Chain changes that. We bring data together from various sources, organize it into a universal format, and make it securely accessible—empowering better decisions and healthier outcomes.

How It Works: From Data to Impact

teams
Source Data Connectivity

Our Centaur Data Platform provides access to critical data from EHRs, Labs, Core Admin Tools, HIEs, and other healthcare sources, creating a comprehensive data foundation.

datasheet
Data Processing & Normalization

Centaur Data Platform integrates, de-duplicates and normalizes this data to the FHIR standard—a universal format that provides consistent, consumable, and CMS-compliant data.

risks
Data Consumption Enablement

Our Health Data & Interoperability Gateway (HDIG) enables organizations to consume this data alongside other healthcare data domains via both FHIR APIs and industry-standard Common Data Models in the relational format.

Our Tools for Healthcare Transformation

Our Health Data Management Platform provides healthcare organizations with the technology foundation needed to streamline operations, enhance care coordination, and meet regulatory requirements—all while reducing total cost of ownership.

reliability_data

Centaur Data Platform

Collects and standardizes healthcare data from any source into FHIR format, creating complete patient records that serve as a single source of truth.

Centaur Data Platform ingests & normalizes CCDAs, HL7 messages, X12s, FHIR data, CSVs, JSONs and many more formats, creating a longitudinal member record using the FHIR standard.

  • Automated data normalization with complete observability
  • Clinical, Claims & Administrative data integration
  • Real-time data processing
  • FHIR R4 compliance

Learn More

unlocking_full_value_of_interoperability

HDIG (Health Data & Interoperability Gateway)

Provides the end-to-end ecosystem to activate and manage all FHIR APIs - mandated or not. Enable external Payers, Providers & Members to seamlessly access the required data while applying consent preferences to maintain security.

HDIG enables organizations to activate all required FHIR APIs under CMS-0057-F and CMS-9115-F, while also activating custom FHIR APIs for both internal and external consumption.

  • Secure API management
  • Granular access & consent controls
  • Out-of-the-Box Compliance
  • Performance monitoring & Usage Analytics

Learn More

curatedreports

Hyperion™

Health Chain’s Unified Data, Analytics and AI Platform transforms complex healthcare data into actionable insights, enhancing decision-making and patient outcomes.

​Hyperion™ enables healthcare organizations to leverage the industry-standard Common Data Model(s) of their choice to support real-time analytics on Clinical, Claims & other Healthcare Data Domains.

  • FHIR to Relational Conversion
  • Flexibility in Data Models
  • Custom Data Marts
  • Real-Time SQL Analytics
  • Automated Data Governance

Learn More

Our Tools for Healthcare Transformation

Health Chain’s integrated platform provides payer organizations with the technology foundation needed to streamline operations, enhance care coordination, and meet regulatory requirements—all while reducing total cost of ownership.

teams
Centaur Data Platform

Collects and standardizes healthcare data from any source into FHIR format, creating complete patient records that serve as a single source of truth.

  • Automated data normalization
  • Clinical & claims data integration
  • Real-time data processing
  • FHIR R4 compliance
datasheet
HDIG (Health Data & Interoperability Gateway)

Manages secure APIs for data access, supporting applications like prior authorizations & analytics while ensuring complete security & compliance.

  • Secure API management
  • Granular access controls
  • CMS compliance built-in
  • Performance monitoring
risks
Developer Portal

Empowers third-party developers and your internal teams to build innovative solutions using our APIs, accelerating your digital transformation initiatives.

  • Comprehensive documentation
  • Interactive API testing
  • Development sandboxes
  • Usage analytics

Why Health Chain Matters to Payer Organizations

Our platform delivers quantifiable benefits that directly impact your organization’s strategic objectives—from operational efficiency to improved member outcomes and regulatory compliance.

Proven ROI for Payer Organizations

83%

Reduction in prior authorization processing time.

98%

straight through processing of clinical, claims and administrative data.

41%

Reduction in open care gaps with optimized care management workflow.

$24M

Annual savings for a typical national payer.

Superior Data Quality: The Centaur Advantage

While other solutions merely move data around, Centaur’s proprietary data quality engine ensures your organization makes decisions based on accurate, complete, and consistent information.

The Data Quality Crisis

Industry Average
Most healthcare data platforms operate with error rates of 15-20%, leading to potentially dangerous clinical decisions and costly operational inefficiencies.

68%

of healthcare leaders report making decisions based on incomplete or inaccurate data

$13.3M

Average annual cost of poor data quality for large payer organizations

The Centaur Difference

  • 1

    AI-Powered Data Reconciliation
    Centaur’s machine learning algorithms automatically detect and reconcile data conflicts across sources, reducing error rates to less than 2%.

  • 2

    Progressive Data Enhancement
    Unlike competitors who merely standardize what they receive, Centaur enriches data with missing elements from complementary sources for more complete patient profiles.

  • 3
    Continuous Data Validation
    Real-time monitoring identifies anomalies and data quality issues before they impact downstream systems or decision-making processes.
  • 4
    Semantic Integration
    Centaur understands the meaning behind data elements, not just the format, enabling true semantic interoperability across systems.
Seamless Regulatory

Seamless Regulatory Compliance

For payer organizations, meeting CMS interoperability requirements isn’t optional-it’s mandatory. Health Chain’s platform is built from the ground up to ensure complete compliance with minimal effort.

  • Democratize access to the Patient Access API with a seamless 3rd party application and developer experience
  • Support the Provider Directory API with FHIR-ready provider data
  • Provider Access API is readily available with flexible authentication methods and Bulk FHIR capabilities to optimize provider adoption
  • Payer-to-Payer API Exchange is supported with our comprehensive Payer Directory, P2P Data Exchange Service and Certificate Authority

  • Prior Authorization API is supported end-to-end across Coverage Requirements Discovery (CRD), Documentation Templates Rules (DTR), Prior Authorization Support (PAS)
  • Automatically maintain compliance with evolving regulatory requirements
  • Detailed audit logs and compliance reporting

The Measurable Impact of Superior Data Quality

93%

Accuracy rate in patient matching – 41% higher than industry average

87%

Reduction in data-related care coordination errors

4.2x

Improvement in data completeness for clinical decision making

Success Stories: Payer Transformations

Streamlining Prior Authorizations

National Health Plan

Streamlining Prior Authorizations

How a leading national payer reduced prior authorization processing time from days to minutes while improving provider satisfaction

83%

Faster processing

62%

Provider satisfaction

care management transformation

Regional Health Plan

Care Management Reimagined

How a regional payer transformed their care management approach with integrated data and real-time insights.

41%

Reduced readmissions

$18M

Annual savings

STARS Rating Improvement

Medicare Advantage

STARS Rating Improvement

How a Medicare Advantage plan leveraged integrated data to drive quality improvements and boost STARS ratings.

4.5

New STARS rating

37%

Membership growth

Industry Recognition & Certifications

Health Chain was named as a Sample Vendor in the Gartner Hype Cycle for U.S. Healthcare Payers, 2024, published July 29, 2024, in two critical categories:

Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation.

Health Chain has achieved NCQA certification, demonstrating our commitment to the highest standards of healthcare data quality, accuracy, and security. Our certification covers:

  • Data Quality Validation: Rigorous assessment of our data integration, standardization, and normalization processes.
  • Interoperability Certification: Verification of our FHIR-based API implementation for seamless data exchange.
  • Privacy & Security Standards: Confirmation of robust safeguards for protected health information.
  • Population Health Management: Validation of our tools for effective population health initiatives.

What Healthcare Leaders Are Saying

Health Chain’s Centaur platform has completely transformed how we approach data quality. Before implementation, we were drowning in data inconsistencies across our systems. Now, our care management teams have complete confidence in the data they’re using to make critical decisions about member health journeys.

Health Chain’s FHIR-powered platform transformed how we handle member data. We’ve reduced prior authorization processing time by 72% and achieved a 35% improvement in care management outcomes—all while ensuring complete regulatory compliance

Health Chain’s Centaur platform transformed our fragmented data into a unified source of truth. We’ve seen a 40% reduction in processing time and significantly improved our ability to make data-driven decisions.

The FHIR-native ecosystem has revolutionized our interoperability capabilities. We now have seamless access to clean, standardized data across our entire network, improving both provider and member satisfaction.

Since implementing HC Prior Auth Suite, we’ve reduced our authorization processing time by 65% and decreased provider complaints by over 50%. The automation capabilities have been game-changing for our operations.

Health Chain’s risk adjustment solution helped us identify previously missed HCC codes, resulting in a 12% improvement in our risk score accuracy and significant financial impact for our organization.

The Developer Portal has empowered our internal teams to build custom solutions that address our specific needs. The comprehensive documentation and testing environment made integration surprisingly straightforward.

We’ve been able to meet CMS interoperability mandates with minimal disruption thanks to Health Chain’s platform. Their compliance-focused approach saved us countless hours and potential penalties.

The real-time member profiles have transformed our quality improvement initiatives. We can now proactively identify care gaps and implement targeted interventions before issues escalate.

Our Star Ratings improved by 0.5 stars within the first year of implementing Health Chain’s solutions. The ability to monitor performance at the individual measure level has been invaluable.

The data standardization capabilities eliminated our data silos and created a comprehensive view of our members’ health journeys. This has been instrumental in our transition to value-based care models.

Health Chain’s platform reduced our total cost of ownership by consolidating multiple point solutions into one integrated ecosystem. The ROI has exceeded our expectations, with a 30% reduction in IT maintenance costs.

Ready to Transform Your Healthcare Data?

See how Health Chain can streamline your workflows, ensure compliance, and enhance patient care. Request a personalized demo tailored to your organization’s specific challenges.