SERVICES

External healthcare data. Continuously managed.

Health Data Innovations (HDI) monitors, transforms, resolves, and delivers external healthcare data every cycle – keeping it trusted as payers, formats, business rules, and downstream systems change.

Purpose-built technology, proven processes, and hands-on healthcare data experts work together to reduce the operational burden on your team while keeping your data reliable.

Your team should be using data.

Not cleaning it.

Specialized healthcare data expertise is hard to hire and harder to keep. HDI manages external healthcare data every cycle, expanding your capacity without expanding your headcount.

We handle the ongoing work required to keep external healthcare data complete, reliable, and ready for use. Your team can focus on the higher-value work only they can do:

  • Analytics and business intelligence
  • Artificial intelligence initiatives
  • Value-based care
    Population health
  • Provider engagement
  • Financial performance
  • Risk adjustment

What our clients say

How HDI creates worry-free data

The proven External Data Management capability behind trusted healthcare claims data.


Before the first file arrives, we document your data sources, destination environments, and delivery schedules. No surprises from day one.

Calibrate

00 – Calibrate

Your needs, understood from the start.

We define requirements, identify data sources and vendors, confirm destination environments, and align delivery schedules with your goals. This helps prevent scope gaps, missing data, and misaligned expectations before the first file arrives.

Acquire

01 – Acquire

Every file tracked.
Every gap surfaced.

We track all expected files against expected sources, file types, formats, populations, and schedules. We accept files in their native formats – any format in. We identify missing, duplicate, and overdue files before they create downstream data issues.

Transform

02 – Transform

Problems caught here.
300+ data quality checks.

We map incoming data to the HDI Core Data Model and apply 300+ data quality checks and operational business rules. We identify source-specific variations, anomalies, sequencing issues, and risks to historical context before the data reaches analytics, AI, or reporting.

Resolve

03 – Resolve

Cleaner data. Greater trust.

Our healthcare data experts investigate issues and document root causes. When the data requires correction, we provide detailed findings and examples for your team to share with the source. We then process, reconcile, and validate the corrected data.

Deliver

04 – Deliver

Trusted healthcare data.
Every destination.

We deliver cleaned, standardized, validated data in the format each downstream environment requires. We provide every destination with a single source of truth and include a detailed Data Quality Report covering population, dollars, field-level completeness, and validation results.

Calibrate

00 – Calibrate

Your needs, understood from the start.

We define requirements, identify data sources and vendors, confirm destination environments, and align delivery schedules with your goals. This helps prevent scope gaps, missing data, and misaligned expectations before the first file arrives.

Acquire

01 – Acquire

Every file tracked.
Every gap surfaced.

We track all expected files against expected sources, file types, formats, populations, and schedules. We accept files in their native formats – any format in. We identify missing, duplicate, and overdue files before they create downstream data issues.

Transform

02 – Transform

Problems caught here.
300+ data quality checks.

We map incoming data to the HDI Core Data Model and apply 300+ data quality checks and operational business rules. We identify source-specific variations, anomalies, sequencing issues, and risks to historical context before the data reaches analytics, AI, or reporting.

Resolve

03 – Resolve

Cleaner data. Greater trust.

Our healthcare data experts investigate issues and document root causes. When the data requires correction, we provide detailed findings and examples for your team to share with the source. We then process, reconcile, and validate the corrected data.

Deliver

04 – Deliver

Trusted healthcare data.
Every destination.

We deliver cleaned, standardized, validated data in the format each downstream environment requires. We provide every destination with a single source of truth and include a detailed Data Quality Report covering population, dollars, field-level completeness, and validation results.

Healthcare claims data and system integration (and beyond).

We manage a broad range of healthcare data creating a trusted foundation for analytics, AI, value-based care, and downstream systems, including:

Systems we work with:

Epic Arcadia Innovaccer Tuva Health Milliman Client enterprise data warehouses AI applications Custom environments All others

Data sources:

Medical claims Pharmacy (Rx) Eligibility Attribution Laboratory Biometric Care gaps Risk Provider Health Risk Assessments (HRA) Electronic Medical Records (EMR/EHR)

The HDI Advantage

External Data Management requires more than a generic data platform. It requires purpose-built technology, proven processes, and hands-on healthcare data experts working together to manage external healthcare data.

HDI continuously acquires, transforms, resolves, and delivers trusted external healthcare data across the enterprise. We reduce the operational burden of managing complex healthcare data while improving the reliability that every downstream system depends on.

The result isn’t just cleaner data – it’s returned capacity: your team’s time and expertise redirected from maintaining data to using it.

Purpose-built technology

Purpose-built technology for predictable, repeatable healthcare data transformation.

  • Speed
  • Scale
  • Security

Proven processes

Processes refined through thousands of real-world healthcare data scenarios.

  • Operational Excellence
  • Adaptability
  • Dependability

Hands-on healthcare data experts

Experienced healthcare data experts who become an extension of your team when expertise and judgment matter most.

  • Confidence
  • Collaboration
  • Expanded Capacity

A proven implementation approach – typically in 3 weeks or less

Implementation shouldn’t take months. HDI gets most organizations live in approximately 3 weeks – compared to the five-month average health systems report.

Implementation activities

Project kickoff and planning 

Define scope, roles, timelines, and implementation objectives.

Secure connectivity and configuration

Establish secure data exchange and configure data sources and destinations.

Data mapping and validation 

Map incoming data, validate quality, and review detailed validation reports.

Collaborative testing and issue resolution

Produce test files, review Data Quality Reports, and resolve issues before production.

Production readiness and go-live

Complete final validation, user acceptance, and begin ongoing healthcare data operations.

Build the Foundation. Build the Future.

Trusted healthcare data starts with experienced people who understand what’s required to keep it that way.

Let’s talk about your healthcare data challenges.

FAQs

Implementations and new healthcare data sources can often go live in as little as three weeks. Once operational, update files are typically returned within 24 hours of receipt, allowing trusted healthcare data to move quickly for downstream systems.

Yes. HDI supports virtually any healthcare data format. Since 2010, we’ve integrated claims data from 627 vendors and 2,600+ healthcare data formats. HDI delivers a single source of truth across systems in the format each destination requires.

HDI provides claims data integration services in formats that support: Epic Community Specification, Epic Care Gaps, Arcadia, Innovaccer, Tuva Health, Milliman, enterprise data warehouses, analytics platforms, AI applications, custom environments, and other target systems.

Yes, HDI has extensive experience preparing and delivering paid claims data and roster files for import into Epic to support value-based care and population health. We are listed on their Open@Epic site as a current integration to simplify the process of importing into Epic. We are also listed on the Epic Showroom Connection Hub under Data Analytics.

HDI manages medical claims, pharmacy (Rx) claims, eligibility and attribution, laboratory data, biometrics, care gaps, Health Risk Assessments (HRA), electronic medical records (EMR/EHR), practice management data, provider, risk files, and other healthcare data required for analytics, AI, value-based care, financial reporting, and operational decision-making.

Yes. Every client environment is different. We calibrate the HDI Data Management Model for data sources, business rules, validation logic, delivery formats, and processes to meet your organization’s specific requirements. We also support healthcare data migrations, mergers and acquisitions, historical data conversions, audits, system replacements, and other one-time initiatives.

HDI supports client-specific update schedules, including daily, weekly, monthly, and other cadences.

HDI’s Data Management Model continuously monitors expected files, delivery schedules, and processing workflows. We identify missing files, incomplete datasets, unexpected changes, validation failures, and other anomalies before unreliable data reaches target systems.