Compliance & Integration

Integration without migration.
Learning curve unnecessary.

Built to pass the audit — and to fit the stack you already run.

HIPAA compliant·SOC 2 Type II·CMS interoperability·Zero rip-and-replace

Compliant by architecture

Our compliance and regulatory integration isn’t bolted on; it’s woven into how our agents, products, and platform are built.

01HIPAA-compliant, SOC 2 Type II, and aligned to CMS Interoperability and Prior Authorization rules.
02Every automated action is timestamped and attributable, with a complete evidence trail.
03Regulatory clocks — 30-day appeals, 72-hour expedited cases, CMS UM turnarounds — are tracked at the platform level.
04When CMS, NCQA, or a state auditor asks how a decision was made, the answer is one click away.
What plans tell us

The last thing you need is another system to rip out — or defend to an auditor.

Integrates with what you already run

CareInsight connects through standards-based interfaces and sits alongside your systems, not in place of them. Health plans we work with run software like this:

Core administrationCognizant TriZetto (Facets, QNXT), HealthEdge HealthRules Payer, Optum, Epic Tapestry, Conduent HSP, Plexis, VBA, HealthAxis.
Utilization & care managementMHK CareProminence, HealthEdge GuidingCare, ZeOmega Jiva, Medecision Aerial, Helios, Salesforce Health Cloud.
Appeals & grievancesMHK, Inovaare, Agadia, Pega.
Member correspondenceOpenText Exstream, Quadient Inspire, Newgen.
Provider systemsProvider EMRs and HIE feeds.
Data sourcesPharmacy, lab, HRA, device, and SDoH data sources.

Connect first, replace later — or never. Every one of these can stay exactly where it is. If a plan later decides to consolidate onto our platforms, it happens on their schedule, one system at a time.

Product and company names above are the trademarks of their respective owners, listed to describe the environments we connect into. Naming them does not imply any partnership, endorsement, or certification.

Standards we speak
HL7 v2 · FHIR R4 · X12 EDI · C-CDA · REST API · SFTP

If your system speaks one of these, we connect to it — including the one that isn’t on anyone’s integration list.

Human-in-the-loop decisioning and service by design

Your clinicians review and decide; the agents assemble, document, and follow through. Nothing regulated leaves the building without the right reviewer and sign-off. See how that works on careassistant.ai.

Deploy without disruption

Adoption is modular — whether agent-by-agent, department by department, or platform by platform; it all runs alongside your systems until you’re ready to replace, and then it’s just a matter of which dashboard you’re working from. Start with one agent, prove ROI, and expand — no data-migration mega-project required at any point.

For plans that want their data consolidated, health3d.ai integrates it. For those that don’t, the agents work with your fragmented data through the API accelerator.

Integration and onboarding time depends on your purchase — still, far faster than you imagine, because there’s nothing to rip out and nothing new to learn.

Compliant by architecture, integrated without rip-and-replace — live in weeks, not a multi-year project.