INTEROPERABILITY

Broadening interoperability horizons for Payers

Modernizing Healthcare with comprehensive data integration solutions and services

Interoperability-(for-Health-Plans)

REPORT

‘Major Contender’ in Everest Healthcare Data & Analytics Services Peak Matrix® 2023

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INFOGRAPHIC

CMS Interoperability and Prior Authorization final rule

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SOLUTIONS

CMS Final Rule to Streamline Prior Authorization

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REPORT

Horizon 3 Market Leader in HFS Horizons HCP Service Providers, 2024

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INTEROPERABILITY

Enabling seamless care driven by data

Extend interoperability beyond traditional data ingestion frameworks like HL7, FHIR, and CCDAs. Modernize with CitiusTech’s comprehensive interoperability solutions that encompass not only clinical data but also areas like prior authorization, claims data sharing, and Provider directory management. Leverage these integrated data exchanges to drive efficiency and improve outcomes across operations.

Regulatory enforcement

Regulatory
enforcement

FHIR adoption and architecture

FHIR adoption and architecture

Real-time, standards-based interface development

Real-time, standards-based interface development

App and data integration

App and data
integration

Device data integration

Device data
integration

Supplemental data capture

Supplemental data capture

Professional services

Professional services for comprehensive support

CONNECT WITH US

Partner with us to optimize Healthcare interoperability

Payer

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Connecting the dots for better care outcomes

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Leverage deep expertise

Build interoperable systems with our rich interface development using leading EAI tools like Ensemble, MIRTH, Rhapsody etc., implementation, and integration experience across tools, platforms, and standards like FHIR, HL7, IHE, DICOM, X12. 

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Fast-track value

Accelerate time-to-value with pre-built libraries, data models, and other accelerators. 

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Stay compliant

Adhere to the latest standards and compliance directives.

SUCCESS STORIES

Solving some of the greatest challenges in Healthcare

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Case Study

Boosted interoperability by leveraging clinical data

Enabled 4+ star ratings with $10Mn in annual savings for a large Blue Plan through 4+ years Clinical Data Integration initiative.

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Case Study

Minimized data issues with data Integration and management platform

Integrated 20+ Payer customers having 20+ file formats with 200+ data quality rules for a value-based home health services provider. Reduced operational costs with 95% reduction in operational service requests.

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Case Study

Enabled real-time enterprise interoperability

Accelerated care management initiatives for a leading national Payer with real-time sharing of prior authorization and clinical data enabling value-based care and sufficing compliance reporting. Reduced data acquisition efforts by 30%.

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PARTNERS

Creating an ecosystem of limitless possibilities

Datavant

SERVICES

Shaping Healthcare possibilities with our expertise

INSIGHTS

Practical thought leadership on healthcare and technology

Empowering Healthcare – The transformation of Prior Auth with intelligent automations

Empowering Healthcare – The transformation of Prior Auth with intelligent automations

Empowering Healthcare – The transformation of Prior Auth with intelligent automations

Empowering Healthcare – The transformation of Prior Auth with intelligent automations

Exploring Payer-to-Payer data exchange – Compliance insights and more

Exploring Payer-to-Payer data exchange – Compliance insights and more

Ushering in a new era of efficiency for Healthcare Payers and Providers: Electronic Prior Authorization (ePA)

Ushering in a new era of efficiency for Healthcare Payers and Providers: Electronic Prior Authorization (ePA)

Adopting interoperability - Payer's pursuit of value-based care

Adopting interoperability - Payer's pursuit of value-based care

Next-gen data integration and interoperability - For enhanced connected patient care

Next-gen data integration and interoperability - For enhanced connected patient care