HealthUnity Connect links health plans, providers and trading partners through a single, secure exchange, so data moves reliably and payer-provider UM workflows start with complete information.
Health plans maintain a patchwork of point-to-point connections with providers, clearinghouses, vendors and partners. Each one adds cost, maintenance and points of failure. When data arrives late, incomplete or in the wrong format, authorization workflows slow down before review even begins.
HealthUnity Connect replaces many separate integrations with one managed connection which supports the latest FHIR interoperability standards aligned with CMS-0057-F. HealthUnity provides canonical network standards which mediates across format differences, validates data requirements, and routes transactions between known endpoints, so plans and provider participants can trust what they send and receive.
Connect once to reach providers, partners and systems across your network.
Eligibility and benefits, policy and documentation requirements, authorization requests and status, and related exchanges.
Supports X12 EDI and FHIR-based APIs, including the Prior Authorization APIs and Access APIs required under CMS-0057-F.
Quality Measures Data Exchange, and Member records exchange as part of the Payer-Payer and Provider Access APIs.
HealthUnity Connect aggregates connectivity with third party vendors (Participant is responsible for vendor license).
Catches errors at submission and confirms receipt, reducing rework and rejections.
Secure, monitored infrastructure designed for high-volume, always-on healthcare operations.
Participants submit through their preferred channel or standard.
HealthUnity Connect validates, normalizes and routes each transaction.
Onboarding new participants does not require changes to existing participant connections.
See how HealthUnity Connect fits alongside the systems you already run.