The Healthcare
Interoperability Glossary

Opexia uses FHIR APIs as the modern bridge between custom workflow applications and legacy EHR systems, ensuring your custom PM software can read/write data in real-time.

We architect all EHR integrations using FHIR R4 resources to ensure long-term API stability and compliance with modern healthcare interoperability requirements.

While older than FHIR, our middleware engines are built to seamlessly ingest, parse, and translate complex HL7 v2 feeds into clean JSON data for modern applications.

Our data pipelines parse HL7 v2.x pipe-delimited messages in real-time, transforming them into structured FHIR resources for modern cloud applications.

We implement SMART on FHIR authorization flows to build patient-facing portals and provider tools that securely integrate with Epic, Cerner, and other enterprise EHRs.

We deploy custom RPA bots specifically for medical billing—scraping payer portals, checking prior authorization statuses, and auto-reconciling EOBs without human intervention.

Opexia operates strictly under signed BAAs for all custom software projects, ensuring your cloud architecture and data handling are legally compliant from day one.

We build all custom applications using Zero-Trust architectures, KMS-encrypted databases, and automated audit logging out-of-the-box to ensure flawless HIPAA compliance.

All Opexia-built systems implement field-level encryption for PHI at rest, TLS 1.3 for PHI in transit, and strict IAM policies ensuring only authorized personnel can access identifiable patient data.

If you are a health-tech startup selling to enterprise hospitals, we provide custom engineering remediation to ensure your SaaS platform passes SOC 2 Type II vendor audits.

Opexia engineers custom middleware layers that securely route data from highly-usable frontend applications directly into the rigid backend schemas of Epic, Cerner, or Athenahealth.

When building custom practice management software, we design EMR databases with future interoperability in mind—ensuring you can eventually share records via FHIR even if you start as a closed system.

Our RPA automation bots automatically parse digital EOB PDFs and portal messages, reconciling payments against the master patient ledger inside your practice management software.

We build RPA bots that monitor payer portals 24/7, automatically submitting prior authorization requests and tracking approval statuses to eliminate manual follow-ups.

Opexia builds custom CCM platforms that automate time-tracking, patient outreach workflows, and Medicare billing code generation to maximize reimbursement while maintaining compliance.

Our custom care coordination software seamlessly handles both CCM and PCM workflows, automatically categorizing patients and generating the correct billing codes based on documented time.

We build real-time ADT ingestion pipelines that listen for HL7 v2 messages, normalize them into FHIR resources, and trigger automated workflows like follow-up care scheduling.

Opexia engineers HIPAA-compliant care coordination platforms with embedded EHR integrations, automated patient outreach, and real-time task assignment for interdisciplinary care teams.

We build intelligent claim scrubbing engines that use rule-based logic and payer-specific requirements to flag errors before submission, reducing denial rates by 40-60%.

Our custom RCM dashboards provide real-time visibility into claim statuses, denial trends, and aging accounts receivable, enabling proactive revenue recovery.

Rather than forcing your workflows into generic PM software, Opexia builds fully custom practice management platforms tailored to your specialty, ownership structure, and operational complexity.

Our custom clinical charting interfaces include intelligent ICD-10 search and validation to ensure claims are coded correctly the first time, reducing denials and compliance risk.

We build automated CPT code suggestion engines that analyze clinical notes and recommend the most accurate billing codes based on documented services rendered.

Our custom PM systems auto-generate superbills based on clinical notes and procedure logs, streamlining the handoff from clinical care to billing operations.

Opexia builds resilient computer-vision-powered RPA bots that navigate payer portals even when UI elements change, ensuring uninterrupted automated claim tracking.

All Opexia cloud environments implement Zero Trust principles with VPC isolation, least-privilege IAM roles, and mandatory MFA for any PHI access.

We encrypt all databases holding PHI using KMS-managed encryption keys with automatic rotation, ensuring compliance with HIPAA encryption-at-rest requirements.

Every Opexia-engineered healthcare application runs inside a dedicated VPC with private subnets, network ACLs, and VPC peering for secure EHR integrations.

We implement least-privilege IAM policies across all cloud resources, ensuring developers cannot access production PHI and automated systems use service-specific roles with minimal permissions.

All Opexia cloud architectures are deployed via Terraform, ensuring reproducible, auditable infrastructure that passes SOC 2 and HITRUST certification requirements.

We configure immutable CloudTrail logs with S3 Object Lock and automated anomaly detection to meet HIPAA's audit trail requirements and detect unauthorized PHI access.

Our RPA bots automatically track denial reasons, flag patterns, and re-submit corrected claims with supporting documentation, recovering revenue that would otherwise be written off.

We build real-time eligibility check integrations with payer APIs and RPA fallbacks, ensuring front-desk staff know coverage details before the patient arrives.