A Healthcare Data Connectivity Platform
Designed To Address The End-to-end Data Integration & Interoperability Needs Of Healthcare Enterprises
Data Exchange
With Real Time Data Orchestration & Synchronization
Healthcare APIs
A Robust Suite of 300+ APIs Powering Interoperability, AI, and Applications
Healthcare Industry Data
Preloaded, Continuously Updated Public Healthcare Datasets
A first of its kind of platform with unmatched visibility and transparency
Provides full real-time visibility into data movements, dependencies, and bottlenecks—empowering informed decision-making and ensuring efficient management across the entire data lifecycle.
End-to-End Transaction Tracking and Operational Insights
Advanced Filtering & Dynamic Data Exploration
Transaction processing details to analyze complete processing execution logic
Error Resolution and Mass Data Corrections
Automated Data Reconciliation & Correction
Detailed Analytics
Real-time Data Orchestration & Synchronization
Book a DemoSupports a wide range of integration protocols and formats, automates complex data flows, and leverages built-in AI to dynamically configure sources, map fields, and optimize transformations.
Real-time Data Synchronization
Across internal systems and external stakeholders such as clearing houses, providers, PBMs, payers, and regulatory bodies. It eliminates data silos and ensures accurate, up-to-date information across all touchpoint.
Flexible Data Exchange
Supports multiple integration protocols and formats to accommodate diverse system requirements, including file-based EDI (Electronic Data Interchange), direct database interfaces, modern micro-services architecture with JSON structures and asynchronous event-based integration patterns for real-time updates and data consistency
Automated Orchestration
Includes a workflow-driven, configurable data orchestration engine, eliminating manual intervention and ensuring timely, accurate data movement across all systems. Facilitates seamless data transformation, enrichment, and validation before reaching target systems.
Built-in Rules Engine
Native rules engine enables dynamic data transformation, allowing seamless conversion from one format to another based on business logic and integration requirements.
Driving Interoperability
with Unmatched Visibility & Transparency.
A Robust Suite of
300+ Healthcare APIs
Designed to accelerate your internal product development and unlock enterprise-grade innovation at scale
Book A DemoBuilt-in Business Logic and Real-World Workflow Support
APIs incorporate business rules, data interdependencies, and healthcare-specific logic, ensuring accurate, context-aware transactions. Supports transaction integrity across payer, provider, and regulatory ecosystems.
Security and Compliance
Includes all HL7 FHIR APIs, enabling CMS interoperability and compliance with federal regulations. Ensures secure, structured data exchange across healthcare networks, payers, and regulatory bodies.
Powering Interoperability, AI, and Enterprise Applications
A modern, scalable, and secure API layer that acts as a business catalyst - driving seamless integrations, intelligent workflows, and powerful application-led use cases across your healthcare enterprise.
Purpose-built to support lookup, read, search, add, and update functions across all key healthcare data types.
Group & Employer
Group & Employer
- Get BU Hierarchy
- Get all Products and Plans
- Get Reports
Plan & Benefits
Plan & Benefits
- Get Plan Benefits
- Get Plan Documents
- Get Reports
Enrollment & Census
Enrollment & Census
- Submit a new Enrollment
- Get all Enrollments
- Approve/Reject Enrollment
Member & Coverage
Member & Coverage
- Add Dependent
- Update Demographic Information
- Get Policy Details
Accumulator
Accumulator
- Get Member’s Accumulators
- Financial
- Services Consumed
Claims
Claims
- Get All Claims
- Get EOB, EOP and other documents
- Submit a new Claim
Pre-Authorization
Pre-Authorization
- Enrollment Get All Prior Authorizations
- Submit a new Prior Authorization
- Update approval Status
Invoice & Payment
Invoice & Payment
- Get Plan Benefits ⁃ Get Check Register
- Get Payment Summary
- Bulk Update Payment Statistics
Broker & Agency
Broker & Agency
- Get all Agencies
- Get all Brokers within an Agency
- Update Broker Status
Quote & Sales
Quote & Sales
- Submit a new Quote Request
- Get Quote
- Get Proposal
Commission
Commission
- Get Commission Summary
- Get Commission Statement
- Get Commission Documents
Provider & Network
Provider & Network
- Get Providers within A Network
- Get Provider’s Details
- Get Provider’s Affiliations
Preloaded & Continuously
Updated Healthcare Industry Data
Provides an enriched, ready-to-use dataset that complements enterprise data, enabling enhanced analytics, decision-making, and AI-driven insights
Book A DemoAutomatically validate and enhance incoming transactions with industry-standard reference data.
Reduce the effort needed to ingest and process foundational healthcare data.
Keeps datasets updated at the frequency recommended by authoritative sources, ensuring accuracy and reliability.
Provider Data
Practitioners & Facilities
A reliable and comprehensive repository of provider data sourced directly from CMS NPPES, PECOS, and other regulatory authorities. From NPIs and specialties to licensing and hospital affiliations, every detail is verified for accuracy and compliance.
A reliable and comprehensive repository of provider data sourced directly from CMS NPPES, PECOS, and other regulatory authorities. From NPIs and specialties to licensing and hospital affiliations, every detail is verified for accuracy and compliance.
- National Provider Identifiers (NPIs)
- Practitioner Taxonomies Specialties
- Practice Locations Contact Details
- Affiliations Hospital Privileges
- Medicare Medicaid Participation Status
- Credentialing Licensing Information
Healthcare Code Sets
Standardized Medical, Billing, & Drug Codes
VIZCare Connect eliminates the hassle of manual code management with a preloaded library of trusted healthcare code sets. From billing to claims, every workflow is powered by unmatched accuracy, built-in compliance, and operational efficiency.
VIZCare Connect eliminates the hassle of manual code management with a preloaded library of trusted healthcare code sets. From billing to claims, every workflow is powered by unmatched accuracy, built-in compliance, and operational efficiency.
- CPT (Current Procedural Terminology) Standard codes for medical services & procedures.
- ICD-10 (International Classification of Diseases) Diagnostic codes for medical conditions.
- HCPCS (Healthcare Common Procedure Coding System) Standardized coding for medical supplies, equipment, and services.
- NDC (National Drug Code) Identifiers for prescription and OTC medications.
- DRG (Diagnosis-Related Groups) Used for hospital reimbursement and case-based payments.
- GPI (Generic Product Identifier) Hierarchical drug classification system for pharmacy claims processing.
Network Data
Payer & Provider Network Information
Details on publicly available information that includes, Payer-Specific Provider Participation in Networks, Reimbursement Rate Structures for Specific Networks, Provider Group Contracting Details and Tiering & Plan Participation Information.
Details on publicly available information that includes, Payer-Specific Provider Participation in Networks, Reimbursement Rate Structures for Specific Networks, Provider Group Contracting Details and Tiering & Plan Participation Information.
- National PPO
- Regional PPO
- Provider Directory
- Pricing, Contract Transparency Data
360° Data Views
for Business & Operational Intelligence
Delivers end-to-end visibility across all systems and touch points, providing real-time insights and analytics to drive scalable, accurate, and efficient healthcare operations.
Real-Time Operational Transparency
Monitor the flow of transactions as they happen. Instantly identify bottlenecks, track dependencies, and detect issues before they escalate—enhancing operational decision-making and ensuring regulatory compliance.
Entity-Centric Business Views
Access interconnected views of key healthcare data types—Members, Providers, Plans, Claims, Prior Authorizations, and Groups. View each entity’s full lifecycle, including historical transactions like coverage changes, claim adjudications, and authorizations, all in one place.
Discrepancy Resolution For Data Accuracy
Identify and correct data inconsistencies directly within the unified view. Updates propagate automatically across all linked systems, ensuring clean, consistent, and trustworthy enterprise data.
Error Resolution
Identify and correct data inconsistencies directly within the unified view. Updates propagate automatically across all linked systems, ensuring clean, consistent, and trustworthy enterprise data.
Cross-System Correlation & Insights
VIZcare Connect intelligently correlates data from across disparate systems to deliver 360-degree insights. This empowers teams to perform reporting, auditing, and monitoring with confidence and clarity.
Built to Power End-to-End Healthcare Data Connectivity
Engineered for scale, it orchestrates millions of transactions across disparate systems while preserving data accuracy and lineage. Centralize connectivity, enforce business rules, and gain actionable transparency into every exchange — enterprise interoperability, simplified.
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We Can Help You Navigate Your Dilemma By Offering You The Best Of Both Worlds