Healthcare Data Infrastructure for Provider Organizations
We build the data plumbing that makes VBC, DPC, and ACO practices actually work — claims pipelines, EHR integrations, eligibility systems, and the operational tooling that connects it all.
Your data infrastructure wasn't built for value-based care
You signed a VBC contract. Now you need to know which patients are attributed, which claims came back, who's in a care gap, and what your total cost of care looks like this quarter. The data to answer those questions exists — it's just trapped in six different systems.
Your eligibility files arrive via SFTP in a format nobody documented. Claims come from the TPA on a schedule that changes quarterly. Your EHR has the clinical data but no way to reconcile it with payer attribution. So someone on your ops team spends 20 hours a week in spreadsheets, stitching it together manually.
It works — until it doesn't. A roster file gets missed. An attribution change goes unnoticed. A care coordinator doesn't find out about an ER visit until the patient is already readmitted. These aren't analytics problems. They're plumbing problems.
We fix the plumbing.
What we build
End-to-end data infrastructure tailored to how provider organizations actually operate.
Data Pipelines & Normalization
- Ingest claims, eligibility, and roster files from any format — 837/835, CSVs, Excel, custom EDI
- Normalize to a unified data model your team can actually query
- Automated validation with error flagging before data hits production
EHR Integrations
- Bidirectional sync with athenahealth, eCW, Elation, and custom systems via FHIR and proprietary APIs
- Real-time ADT event routing for care coordination workflows
- Clinical data extraction for quality measure reporting and care gap closure
Care Coordination Tooling
- Task routing and escalation systems that surface the right patient to the right coordinator
- Automated outreach triggers based on claims events, care gaps, and risk flags
- Panel management dashboards built on your actual attributed population
Eligibility, Census & Ops Automation
- Eligibility file processing with automated reconciliation against your patient roster
- Census tracking across multiple employer groups and plan types
- Operational alerts for attribution changes, enrollment gaps, and compliance deadlines
Why practices work with us
We’ve done this from inside a VBC practice
We didn’t learn value-based care from a whitepaper. We’ve sat in the ops meetings, wrestled with the SFTP files, explained attribution changes to clinicians, and built the systems to make it all make sense. We know what breaks because we’ve been the ones paged when it does.
Small team, fast delivery, AI-native
No 30-person implementation team. No 6-month discovery phase. We scope fast, ship incrementally, and use AI tooling throughout our workflow — from data mapping to test generation to documentation. You get senior engineers from day one, not a partner who sells and a junior who builds.
Team from Google, Adobe, and healthcare operations
Our engineering team built infrastructure at scale before applying it to healthcare. We bring production-grade engineering practices — proper CI/CD, monitoring, alerting, documentation — to a space that too often runs on duct tape and good intentions.
Trusted by provider organizations
Our clients include multi-site VBC and concierge care practices managing employer-sponsored populations. Client names confidential by agreement.
Have a data problem?
We'd love to hear what you're dealing with. No pitch deck — just a conversation about your infrastructure.