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InterSystems Payer Connector

An integration hub that standardizes data exchange between Epic Payer Platform and other clinical and administrative applications.
Two men discussing Epic Payer Platform and InterSystems Payer Connector in front of a laptop
Enable Scalable Epic Payer Platform Connectivity Across Enterprise Workflows
InterSystems Payer Connector™ creates a single integration hub between Epic Payer Platform and other systems where health plan work happens – across claims, care management, utilization management (UM), quality, analytics, and member engagement.

It transforms and routes data between Epic Payer Platform and downstream workflows, with secure, scalable exchange, reducing one-off integrations and accelerating time to value. It's supported by proven integrations and healthcare expertise from InterSystems, with demonstrated success at enterprise scale.

Integration that “Speaks Epic”

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Integration that “Speaks Epic”

InterSystems Payer Connector provides integration that standardizes the way Epic®-supported data moves between Epic Payer Platform and other clinical and administrative applications.

It combines configurable data transformation and routing – validate, transform, enrich, route, and deliver – with centralized security and compliance controls, including role-based access control and comprehensive audit trails.

Using Epic published interfaces, schemas, and formats, InterSystems Payer Connector normalizes, transforms, and bi-directionally routes information with the stability, scalability, and reliability required.

Application security and operations are centralized, including OAuth 2.0 IDs and scopes, encryption in transit and at rest, role-based access, end-to-end monitoring, audit logs, message tracing, and controlled resubmission.

Key Features

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Centralized Integration
Shared, centralized connections that eliminate one-off integrations and centralize business rules for routing and transformation.
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Configuration-Driven Mappings
Configuration-driven mappings to keep transformations consistent, governed, and repeatable.
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Visual Process Orchestration
Visual process design for business process orchestration, including fault and compensation handling for robust error recovery.
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Standards-Friendly Adapters
Standards-friendly adapters to forward requests to external endpoints when required.
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Schema Validation and Quarantine
Schema validation with quarantine and clear error feedback, with support for custom schemas when needed.
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Multi-Target Delivery
Deliver data across web application programming interfaces, message queues, event streaming platforms, and secure file exchange.
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Resubmission and Suspension Handling
Resubmission and suspension handling so failed messages can be inspected, corrected, and resent under operational control.
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Controlled Change Management
Versioned configurations, environment promotion, and safe rollout options to manage change with confidence under centralized operational control.
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Comprehensive Protections
Comprehensive protections include authentication, authorization, audit logging, and encryption.
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End-to-End Message Tracing
Rapid investigation across end-to-end message flows.
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Operational Alerts and Log Monitoring
Operational alerts and log monitoring to surface thresholds and important events.
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Centralized Security Policies
Centralized security policies with role-based access.

Benefits and Capabilities to Meet Your Needs

Deliver information from Epic Payer Platform into live workflows and back
Targeted routing delivers needed data to claims, care management, UM, quality, analytics, and member systems – and sends back those insights, reducing manual intake and overhead.
Monitor, Audit, and Trust Data Flows
Central dashboards, message tracing, audit logs, and SLAs ensure transparency and create operational confidence.
Simplify Change Management
Uses versioned mappings and staged promotions to isolate changes and deploy safely, reducing break/fix and rollback risk.
Integration Aligned with Enterprise Security and Deployment Models
On-premises or managed service deployment options and integration with enterprise SSO and existing gateways/queues.

Real-World Value Use Cases

InterSystems Payer Connector replaces integration sprawl with an integration engine pre-configured for health plans to connect Epic Payer Platform.
New Application Onboarding
Stand up a new system and connect it with your enterprise through a single integration hub, more quickly and easily than with bespoke links
Notifications for Care and Utilization Management
Deliver notices of events of interest to operational systems with consistent routing and error handling
Clinical Documentation for Quality Measures and Claims
Standardized pipelines deliver documentation where it is needed for measurement or payment determinations
Roster Activation Across Applications
Reuse the same connectivity pattern to synchronize member context consistently
Analytics and AI Readiness
Produce well-governed, normalized data to strengthen analytics and future AI initiatives
Solution Overview
Learn more about InterSystems Payer Connector, a single integration hub that enables scalable Epic Payer Platform connectivity across enterprise health plan workflows, including claims, care management, utilization management, quality, analytics, and member engagement, with secure, governed data exchange at enterprise scale.

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