ENTERPRISE HEALTHCARE
DATA MANAGEMENT PLATFORM

iX DataBridge enables a real-world interoperable environment for Payers, MA Plans, IPAs, and ACOs, facilitating seamless exchange of healthcare data between providers and existing systems. Deployed as a HIPAA-compliant PaaS or in a secure private cloud in your environment, iX DataBridge provides a complete and packaged solution for the clinical data management requirements of healthcare organizations. The ‘Always Up to Date’ CDR comes with analytics-ready data model that can be used for Risk Adjustment, Care Gaps, and other Population Analytics

By addressing the challenges of manual data extraction, data quality, data transformation, and out of date CDR, iX DataBridge paves the way for a transformative solution set to redefine healthcare data exchange and management.

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Use Case 1: Clinical Encounter Data Solution for Payers

Requirements:

Payers need to have access to the latest clinical encounter data for risk adjustment, care gaps, population analytics among other business use cases.

Challenges:

While any CDR solution can meet the basic compliance requirements, maintaining its relevance for the ongoing business use cases proves challenging due to the dynamic nature of patient encounters in Provider systems. The ‘as is’ loading of clinical data into the CDR can result in noisy and unanalyzable data due to duplicate records, lack of data provenance, and data transformation errors. Most importantly, to keep the data up to date, it must be continuously refreshed from the Provider systems after the initial load of historical data, based on encounter discharge and on-demand notifications.

Solution:

iX DataBridge seamlessly integrates with the multiple Provider systems and automatically delivers clinical data for all patients to an existing CDR in the Payer’s environment. Once set up and configured, iX DataBridge will automatically keep patient data in sync with the siloed provider data sources. With flexible deployment, competitive pricing, low operational cost, and built-in data quality controls, iX DataBridge delivers the best ROI for the Payers to create an ‘Always Up to Date’ CDR.

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Use Case 2: Bi-Directional Data Exchange Solution for Payers

Requirements:

Using the ‘Always Up to Date’ CDR, healthcare Payers may need to ‘write back’ directives to the Provider systems which include information such as suspected Diagnoses, care gaps to be closed, tasks to send data to the Payer.

Challenges:

Most of the integration methods in the market are designed to extract data in batch mode and store the data in a repository. To ‘Write Back’ the data into Provider’s EHR System requires a bi-directional tunnel architecture with option for Provider to accept the suggested updates. EHRs have limited open APIs to write back information.

Solution:

iX DataBridge bi-directional virtual tunnel is your ideal solution. Payers can send ‘Write Back’ messages through iX DataBridge to any connected Provider’s EHR leveraging the EHR’s open APIs. The submitted data will appear in the EHR UI for the relevant Provider to act on based on the type of information being written to the EHR. iX Data Bridge provides a unique solution for enabling the ‘Write Back’ functionality into the connected.

FHIR API

Restful Web Services

Certified FHIR Server


USCDI Compliant Data

Procedures

Provenance

Observation

Care Team

Document Reference

Patient Demographics

Vital Signs

Alergy & Intolerance

Care Plan

Medications

Problems

Encounter

Care Team

Laboratory

Immunizations

Health Insurance Coverage

Diagnostics Report

Clinical Tests

InteropX Member Clinical Data Repository
M-CDR

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Use Case 3: Electronic Prior Authorization (ePA) Solution for Payers and Providers

Requirements:

The new CMS rule requires all Payers to implement electronic Prior Authorization capabilities using FHIR APIs starting on January 1st, 2026. The biggest challenge in implementing the prior auth requirements is to integrate the providers and the payers using the FHIR APIs. This is further complicated for Payers who must meet their current PA requirements but ensure that the solution will continue to support evolving electronic Prior Authorization regulations .

Challenges:

Current Prior Authorization implementations vary from manual request and response management to semi-automated processes. The existing processes are extremely burdensome and take long wait times for patients and currently there are no standards based electronic Prior Auth APIs in-place.

Solution:

Leveraging the DaVinci Implementation specifications for Coverage Requirements Discovery (CRD), Documentation Template and Requirements (DTR) and Prior Authorization Requests/Responses (PA), iX DataBridge implements the necessary capabilities that can be used by Payers to integrate with their providers using different EHR systems and at the same time integrate with the Payer backend systems. iX DataBridge uses various translations to integrate the Payer systems successfully with the ePA applications.

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Use Case 4: Patient and Provider Access APIs

Requirements:

The new CMS rule requires Payers to enable accessing of encounter data, claims data, and prior authorization data (by both patients and providers) using their applications of choice.

Challenges:

Current solutions do not integrate the data from the various silo-ed systems and there is a burden for the payer to maintain multiple integrations with multiple systems to surface the necessary data to the patients and the providers. In addition, the attribution lists and consent mechanisms need to be created to protect patient privacy and track disclosures. In addition, the regulatory landscape keeps evolving and Payers will need to invest to keep all the integrations working leading to a high-cost solution for compliance.

Solution:

iX DataBridge has the ability to bring data in from multiple systems and curate the data into a single canonical data model and publish the data model to the Payer’s CDR. iX DataBridge has the audit and reporting mechanisms built to determine the access of data in terms of who accessed, when they accessed, why they accessed, and their authorizations to access the data. iX DataBridge is fully compliant with the Patient Access API requirements and is kept up-to date with the evolving regulations and reduces the total cost of ownership for a Payer to maintain compliance and provide access to necessary data.

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Use Case 5: Public Health Reporting

Requirements:

The new ONC HTI1 regulation and the CMS rule requires eligible clinicians and hospitals to report data to public health for many use cases including electronic Case Reporting, Central Cancer Registry Reporting. Along with these regulations there are multiple modernization activities to receive data using FHIR APIs. For states to implement these capabilities, they need a solution that can keep the existing data feeds and add new methods of receiving data.

Challenges:

Current solutions provided to states are high cost and are one-off integrations where new methods are added to receive data but are not integrated into their existing back-end systems requiring additional burden on the states to develop either reporting tools for the new formats or add converters to transform to existing formats.

Solution:

iX DataBridge has the necessary FHIR capabilities to receive any data from provider organizations using different kinds of APIs and is capable of transforming the data into C-CDA formats or other flat file formats including CSV or Text to feed into the existing pipelines for analysis and reporting. Further, if additional data is needed by Public Health, the iX DataBridge already has the ability to pull data from the providers and can be leveraged immediately on deployment.

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