Interoperability Strategy & Roadmap
Digital maturity and gap assessment, interoperability architecture design, and roadmap definition, including Salesforce Health Cloud strategy and planning
Mastek Recognized as a Leader by Everest Group for AI-led Digital Transformation in the Mid-Market Segment.
Mastek wins the 2025 Oracle Regional Best in Class, Service Partner SaaS Applications, SCM Breakthrough Partner Award for EMEA at Oracle AI World!
Middle East Manufacturing Enters a New Digital Era - 62% of Manufacturers are now Investing in AI-driven Digital-first Strategies.
Mastek Recognized with the 'Voice of the Customer Honor – Value Excellence' Award at Everest Group Elevate Honors™ 2025.
AI-Powered Healthcare Interoperability Solutions in North America
Your 360° view into Interoperable Healthcare Ecosystems
Achieve seamless Healthcare Interoperability with Mastek’s API-led, FHIR-compliant integration services, connecting health plan data, systems, and member touchpoints into a unified, actionable platform to enable personalized, proactive outreach and retention at scale
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Healthcare Interoperability & Integration Solutions by Mastek
We combine expert integration strategy with FHIR-native, API-led connectivity to turn fragmented payer data into a unified, real-time asset. From legacy cloud transformation to CMS 2027 readiness
Salesforce Platform Implementation
Implementation of Health Cloud for member management, Service Cloud for payer-provider operations, and Marketing Cloud for member engagement campaigns
Enterprise Integration Services
API-led connectivity across payer systems, enabling real-time care coordination workflows, with integration builds using MuleSoft, Boomi, and Azure
Digital Member Experience
Enable digital front doors and self-service portals, with omnichannel engagement across web, mobile, and voice, along with care navigation and member support workflows
Enterprise Healthcare Interoperability Capabilities
Unify claims, EHR, and CRM data into a real-time 360° member view while enabling FHIR-compliant data exchange, AI-driven prior authorization, and predictive outreach across payer systems
Connected Member Data Layer
Unified 360° member profiles combining claims, EHR, and CRM data in real time for a complete, actionable view
AI-Driven Prior Authorization
Automated prior authorization workflows reduce processing time and manual touchpoints across payer and provider operations
Predictive Member Outreach
AI-driven analytics identify at-risk members and trigger personalized, targeted intervention campaigns
FHIR-Compliant Data Exchange
API-led integration enables real-time data access across systems while ensuring compliance with CMS interoperability mandates
Omnichannel Member Engagement
Deliver consistent, seamless member experiences across web, mobile, chat, and contact center channels
Care Navigation and Coordination
Streamlined referral and care transition workflows reduce gaps between payer and provider interactions
AI-Powered Platforms for Healthcare Payers Interoperability
Modern interoperability requires more than integration; it demands an AI-driven platform that unifies data, systems, and stakeholders into a real-time, compliant healthcare ecosystem
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A cloud-native platform built on Azure and AWS enables scalable data processing and orchestration. Legacy formats such as HL7 v2, X12, and CDA/XML are normalized into FHIR, creating a standardized data layer
Payers gain a unified member view, providers enable real-time data exchange and automated prior authorizations, members access digital-first self-service experiences, and PBMs integrate seamlessly for pharmacy benefit checks at the point of care
Aligned with CMS and ONC mandates, the platform supports requirements such as the 2027 Electronic Prior Authorization rule, with pre-built Patient and Provider Access APIs ensuring secure, compliant, and future-ready interoperability
Why Choose Mastek for Healthcare Interoperability?
Mastek delivers a compliance-first, AI-enabled interoperability solution that transforms fragmented healthcare data into real-time, actionable intelligence, built to meet today’s mandates and tomorrow’s regulations
Accelerate FHIR-Based Interoperability Across Systems
Extensive support across 179+ healthcare domains
Purpose-built to automate CMS and ONC mandates
Innovative team behind CMS BlueButton 2.0
Personalized Member Engagement Driving Higher Retention
FAQs on Healthcare Interoperability
Healthcare Interoperability is the seamless exchange of health information between health plans, providers, and members. It moves organizations away from fragmented data silos toward a connected ecosystem where claims, clinical data, and administrative records are accessible in real-time to improve care coordination and operational efficiency
FHIR (Fast Healthcare Interoperability Resources) is the modern standard for exchanging healthcare information electronically. Our platform is built on a FHIR-compliant data exchange layer, allowing health plans to ingest various data formats (HL7 v2, DICOM, X12, CDA/XML) and transform them into actionable, standardized FHIR resources
The Centers for Medicare & Medicaid Services (CMS) have issued mandates requiring health plans to implement standardized APIs for patient and provider access. Most notably, CMS requires electronic prior authorization by 2027. Mastek’s platform is specifically engineered to help plans comply with these ONC and CMS regulations while improving customer relationships
By unifying data into a 360° member view, interoperability eliminates the need for members to act as the "messenger" between their doctor and insurance plan. It enables:
- Retail-grade digital experiences (self-service portals)
- Real-time Pharmacy Benefit Checks
- Predictive outreach to close gaps in care before they become costly issues
Yes. One of Mastek’s core value propositions is the ability to transform legacy standard data into FHIR. This helps in modernizing your infrastructure without requiring a total "rip-and-replace" of your core systems
Beyond compliance, the key benefits include:
- Cost Reduction: Automated workflows for prior authorization reduce manual intervention
- Scalability: Built on Microsoft Azure, our platform grows with your data volume
- Better Decisions: Access to a unified data layer allows for more accurate risk adjustment and clinical genomics insights
Mastek provides end-to-end interoperability services, including:
- Strategy & Roadmap: Digital maturity assessments and Salesforce Health Cloud planning
- Enterprise Integration: Building real-time data workflows across payer systems
- Omnichannel Engagement: Creating a "digital front door" for members across web, mobile, and voice
Mastek offers a unique combination of deep domain expertise and proven technology
- Proven Track Record: Our platform was built by the team that created CMS BlueButton 2.0
- Comprehensive Scope: We cover over 179 healthcare areas currently in active ballot for FHIR specs
- Advanced Tech Stack: We integrate a GenAI Layer on top of a robust PySpark and Terraform foundation to ensure your data isn't just connected, but intelligent
Build a Future-Ready Healthcare Interoperability Ecosystem
Connect systems, activate data, and enable intelligent, compliant care coordination at enterprise scale with Mastek
Talk to our Payer Expert