Healthcare Data Integration, Compliance & Analytics

We design every solution around least-privilege access, role-based security, encryption in transit and at rest—including TDE and Always Encrypted where appropriate—secure transport such as SFTP and private connectivity, data minimization, and detailed audit trails. Sensitive fields can be filtered, masked, or segmented by organization before data ever reaches downstream systems, so teams see only what they are entitled to see. These controls are engineered to support each client's HIPAA program, security policies, and risk requirements; we align to your governance rather than imposing a one-size-fits-all model. We don't claim certifications on your behalf—we build the technical safeguards your compliance framework depends on.

Our team implemented AHCA Provider Network Verification reporting for a managed care organization—replacing a third-party-managed process and bringing it fully in-house. That platform generates PG, SL, and EN files covering provider, group, hospital, and service-location data; enforces more than 100 automated Level 1 and Level 2 validation rules; automates secure SFTP submission; and maintains full audit history with exception management and role-based access. Our leadership and consultants also bring experience with CMS-oriented regulatory reporting from payer environments. The practical results: fewer rejections, more accurate provider data, stronger network-adequacy posture, and audit readiness that doesn't depend on a vendor's timeline.

We have direct implementation experience with 834 enrollment, 835 remittance, 837 claims, 999 acknowledgements, 277 claim status, 278 services review, and 270 eligibility transactions. Our work covers parsing, validation, partner-specific mapping, acknowledgement generation and reconciliation, error queues, secure file transfer, API integration, and audit history. We build integrations around your trading-partner rules and business requirements instead of forcing an oversized integration platform into your stack—which typically means faster onboarding, clearer traceability, and lower total cost. If you work with a transaction set not listed here, ask; we'll tell you directly whether it's within our documented experience.

Yes. We have deep experience synchronizing Epic Clarity—and Caboodle—from cloud-hosted environments into local SQL Server enterprise platforms using modern replication-style ETL: incremental change feeds, intelligent load prioritization, parallel processing, self-healing failure recovery, and schema-change adaptation. In one mission-critical engagement, that architecture moved critical-data availability from roughly 8–10 AM to roughly 4 AM with ~99% daily processing success. We treat Epic Clarity as one important source among many: we also integrate claims platforms, enrollment and eligibility systems, provider data sources, and third-party feeds into unified, well-governed healthcare data platforms.

All four. Engagements range from short strategic assessments and SQL Server health reviews, to fixed-price technical initiatives, three-to-six-month modernization and migration projects, and long-term managed services with production support. We design, build, test, deploy, and support—then document and transfer knowledge so your team can own the result. You work directly with senior specialists throughout. Many clients start with a focused assessment to establish priorities and expand from there; others bring us a defined project with a deadline. Either path works—what matters is matching the engagement model to your risk, timeline, and internal capacity.