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Health Plans

Workflow with APIs seamlessly added to the existing process

How APIs seamlessly integrate into a payer’s workflow

One of the most powerful features of the Convert API is its ability to seamlessly fit into an insurer’s existing data workflows with minimal disruption. This means health insurance companies don’t need to overhaul their existing infrastructure or re-engineer their data pipelines. The Convert API is a plug-and-play solution, hidden within the existing workflow for processing clinical data and making it analytically ready. 

For example, the Convert API is designed to take in raw clinical data—often in CDA formats that can vary greatly between providers—and return the same format, but with data that has been standardized and enriched. Here’s how it works:

  1. Inbound CDA Data Handling: When clinical data is received by the payer in its original form, it is often riddled with inconsistencies, varying terminologies, and unstructured data.
  2. Invoking the Convert API: Processes the data by standardizing terminologies, enriching incomplete or dropped fields, and linking uncoded free text to known code systems like SNOMED or LOINC.
  3. Enriched and Standardized Output: The data is now in the desired format and enriched with standardized codes and terminology, and ready for analysis.

Minimal Workflow and IT Impact

What makes this integration so valuable is that it can be accomplished with very little impact on the payer’s existing workflows:

  • No Major IT Overhaul: The Convert API fits directly into existing data pipelines, so the IT team doesn’t need to make major changes to data infrastructure or architecture.
  • Rapid Implementation: Invoking the Convert API can be done in a matter of hours, allowing payers to start benefiting from cleaner, standardized data almost immediately.
  • Preserves Existing Logic: The API preserves the original logic used in data workflows while adding value through standardization and enrichment, meaning there’s no need to modify or re-engineer existing processes.