Solution Provider Integration for Healthcare (HL7, FHIR, X12)
PilotFish is a healthcare integration engine for solution providers that delivers Any-to-Any interoperability across HL7, FHIR (DSTU2–R5), X12 EDI, DICOM, databases and APIs. Build, test and deploy interfaces fast with a low-code IDE, built-in validation and secure, HIPAA-aligned processing. Transparent On-Demand and One-Time licensing simplifies procurement.
PilotFish is used by healthcare solution providers including technology companies, consulting firms, medical device manufacturers and service organizations that provide everything from IT support to data analytics. These firms develop and deliver tools and services to stakeholders across the healthcare ecosystem.

Solution Provider Workflow Example using PilotFish’s Interface/Integration Engine
Why Healthcare Solution Providers Choose the PilotFish Integration Engine
- Any-to-Any Integration: PilotFish connects any healthcare system, standard or format – no need to rewrite your systems to make them interoperable
- Accelerated Interface Development: Integration times shrink with PilotFish’s graphical IDE (eiConsole). Prebuilt templates, out-of-the-box listeners/adapters, drag & drop mapping and inline testing shorten integration cycles from weeks to days. That frees up your IT resources and accelerates your rollouts.
- Built-In Data Validation and Data Cleansing: Before data ever reaches customer applications or systems, PilotFish’s validation processors validate, cleanse and normalize it for high-integrity inputs and reliable outputs.
- Open & Vendor-neutral for AI: PilotFish delivers clean, validated and integrated data for analytics, automation and AI across HL7, FHIR and X12 EDI.
- Reusability and Testing Tools: Boost productivity with reusable interfaces and integrated testing and debugging functionalities.
- Compliance Support: Aids organizations in maintaining compliance with healthcare regulations and standards.
- Future-Proofed Architecture: As you scale your business and initiatives, PilotFish scales with you. Pilotfish’s modular architecture enables easy modifications and additions without disrupting existing business processes.
PilotFish Product Suite for Healthcare: eiPlatform engine + eiConsole IDE + eiDashboard. Delivering speed, flexibility and power, PilotFish’s robust, modern platform enables the leveraging of EDI, HL7, FHIR, XML standards, web services and Application Server Technology.
- PilotFish eiConsole IDE Graphical, configuration-driven, automated Assembly Line to build, test and promote interfaces across environments. Visual drag & drop data mapping, built-in validation and automated test harnesses reduce rework and delivery time.
- PilotFish eiPlatform is a powerful Java-based integration engine that runs in containers or on-premise and supports application server deployment. Key capabilities: ANY-to-ANY transformation, protocol adapters and message routing with horizontal scalability.
- PilotFish eiDashboard (real-time monitoring) delivers observability – monitoring, alerting and message tracking for operations and compliance.
Deployment & Security – PilotFish runs in Docker and Kubernetes with externalized configuration and CI/CD-ready artifacts. Meets strict data and privacy regulations. Supports TLS, mTLS, OAuth 2.0, SSO and secrets management.
Note: PilotFish’s eiPlatform does not store any client data at rest. Instead, we offer customers the ability to host on-premises or in the cloud, where they can secure their clients’ data. We also offer VAR licenses as an option, allowing each client to be isolated with their own eiPlatform, without the worry of data comingling.
PilotFish Integration Engine HL7, FHIR, EDI Capabilities Overview
PilotFish’s flexible interface engine simplifies HL7, FHIR and X12 EDI integration. The most complex data mapping and data transformations can be accomplished in minutes, with no coding or scripting required.
HL7 Integration (v2.x)
PilotFish establishes a robust, scalable and secure HL7 framework:
- Full support for HL7 v.2x messaging
- Built-In HL7 Format Reader
- Integrated HL7 Data Mapper with drag & drop configurations
- Robust configuration-driven HL7 Parser. Lenient Parser handles non-compliant, unknown segments and extended versions of HL7.
- Supports HL7 v2 message format transformation, e.g., ADT (Admit, Discharge, Transfer), ORM (Order Management), ORU (Observation Result), SIU (Scheduling Information)
FHIR Integration (DSTU2–R5, SMART on FHIR, OAuth 2.0)
PilotFish streamlines the entire lifecycle of FHIR implementation from transformation to monitoring. We lead in FHIR integration innovation, impressive usability and extensibility delivering:
- FHIR modular architecture supporting DSTU2 through R5 FHIR versions
- PilotFish automated graphical Assembly Line with built-in FHIR format reader, FHIR resource operations, drag-and-drop Data Mapping and reusability
- FHIR integration with all healthcare standards (HL7 2.x and 3.x, CCD, CCDA, DICOM, HIPAA X12 EDI, NCPDP and others)
- Legacy System Compatibility that does not require replacement of existing infrastructure
- SMART on FHIR support and OAuth
For lightweight RESTful APIs, PilotFish’s API XL architecture offers a means to encapsulate entire API-driven business processes. PilotFish provides a foundation for any FHIR-based implementation. (PilotFish is already helping solution providers to meet the FHIR CMS-0057-F mandate and 2026-2027deadlines.)
HIPAA X12 EDI Integration (SNIP 1–7)
Supports all HIPAA X12 message formats and use cases, including:
- EDI 270/271 (Eligibility Verification Inquiry)
- EDI 278/275 (Prior Authorization)
- EDI 837 (Healthcare Claims)
- EDI 276/277 (Claims Status)
- EDI 834 (Benefit Enrollment and Maintenance)
- EDI 835 (Remittance Advice)
- Robust configuration-driven X12 Parser. Support for non-standard, hybrid and proprietary EDI formats
- Out-of-the-box SNIP Levels 1-7 validation and the ability to test every transaction sent or received for compliance
- Trading Partner Management System (TPMS) secure, browser-based interface simplifies and speeds trading partner onboarding
Real-Time and Batch Processing
The same configuration-over-code approach supports streaming, event-driven interfaces and high-volume batch jobs for a highly flexible solution.
Clean, Validated and Integrated Data for AI-Ready Systems
PilotFish ensures AI healthcare initiatives are built on a foundation of clean, validated and integrated data, from HL7 to FHIR to X12 EDI. PilotFish’s real-time data processing, secure integration and scalable infrastructure also lay the groundwork for advanced AI use cases.
“PilotFish Healthcare met all the criteria we had established for selecting an integration engine solution. However, what really impressed us was the ease-of-use of their solution. The PilotFish eiConsole for Healthcare IDE uses a graphical Assembly Line approach to configuring complex interfaces that is simple, intuitive and fast.”
Vice President Technology, Food and Nutrition Services
PilotFish Any-to-Any Integration Beats Competitors in Low Resource Use, Reduced Costs and Speed
PilotFish provides software and services that simplify the integration of disparate systems regardless of the data format or environment – delivering:
- A unified view of information, leading to better data-driven decisions for clients
- Dramatic reductions in implementation times and costs
- Unlimited scalability and flexibility that future-proofs your investments
Solution providers report that PilotFish interfaces can be built 50% faster than with their previous solutions.
PilotFish offers on-demand and one-time licensing, without charging per transaction, interface, or connection. PilotFish’s model typically results in substantial cost savings.
Take advantage of PilotFish’s full, FREE 90-Day Trial Version of our software. You can complete an end-to-end interface in less than 20 minutes and get a real sense of the ease-of-use of PilotFish’s Interface Engine solutions.
FAQ
PilotFish includes lenient, configuration-driven parsers and a visual mapper that tolerates unknown segments and extended versions. You can normalize inbound variations to your canonical model, validate (including SNIP levels for X12) and output the format your partners expect.
Yes. The same configuration-over-code approach supports streaming, event-driven interfaces and high-volume batch jobs without separate stacks or duplicate logic.
PilotFish implements OAuth 2.0/SMART patterns, token exchange and consent flows. You can map FHIR resources bi-directionally with HL7 v2, X12 or internal schemas.
TPMS centralizes partner profiles, certificates, endpoints and testing artifacts in a secure, browser-based UI—standardizing onboarding steps and reducing lead time.
Out-of-the-box SNIP 1–7 validation and message-level testing ensure transactions conform before sending or ingesting, reducing rejections and rework.
Related Case Studies
- Real-Time Analytics in Healthcare with PilotFish
Healthcare analytics leader achieved real-time data accuracy, streamlined operations and enhanced patient care. - Clinical Lab Integration with Real-Time Data
A national clinical lab unified high-volume feeds across disparate systems and met aggressive timelines by using PilotFish to normalize data and ensure real-time integrity during a significant acquisition. - PilotFish Engine Powers Healthcare TPA’s Data Analytics (EDI 834)
Healthcare TPA scaled EDI 834 enrollment flows and analytics with a small team by automating validation, mapping and trading-partner onboarding to improve quality and speed.
Explore additional healthcare integration case studies.
If you’re curious about the software features, free trial, or even a demo – we’re ready to answer any and all questions. Please call 813 864 8662 or click the button.
HL7 is the registered trademark of Health Level Seven International.
X12, chartered by the American National Standards Institute for more than 35 years, develops and maintains EDI standards and XML schemas.