Skip to content
PilotFish Logo

Healthcare Integration Solutions

Proven in production healthcare environments delivering standards-driven interoperability across clinical, financial, administrative and device ecosystems.

PilotFish solutions address the full spectrum of healthcare interoperability challenges, from EHR integration and clinical data exchange to claims processing, device connectivity, analytics enablement and secure partner onboarding.

Trusted across the industry with payers, providers, labs and health IT vendors.

Explore PilotFish Solutions

Healthcare EDI Integration

Healthcare EDI Integration

Automate healthcare EDI integration with streamlined interface configuration, validation, testing and data mapping. PilotFish supports X12, NCPDP, HL7, FHIR, CDA, XML and other formats, enabling scalable, compliant data exchange and efficient trading partner connectivity across healthcare ecosystems.

Healthcare Payer

Healthcare
Payer

Streamline payer data exchange with automated X12 EDI validation, CMS reporting support and secure integration of claims, remittance, eligibility and encounter data workflows. PilotFish helps healthcare payers improve efficiency, maintain compliance and reduce operational complexity.

EDI Claims Processing

EDI Claims Processing

Automate healthcare claims processing across providers, payers and trading partners. PilotFish transforms, validates and routes HIPAA X12 transactions to streamline claims workflows, reduce manual effort and support reliable, scalable data exchange.

Supply Chain Integration

Healthcare EDI Supply Chain Integration

Streamline healthcare supply chain EDI transactions using comprehensive X12 messaging support, automated data transformation and real-time monitoring. PilotFish enables secure partner connectivity, reliable transaction processing and scalable integration across healthcare supply chain environments.

FHIR Variability & CMS Compliance icon

FHIR Variability & CMS Compliance

Address FHIR variability while meeting CMS-0057-F and CMS-9115-F requirements. PilotFish normalizes inconsistent FHIR implementations, transforms data across systems and automates interoperability workflows to support reliable, standards-based exchange.

CMS & ASTP Integration Solutions icon

CMS & ASTP Integration Solutions

Simplify compliance with evolving CMS and ASTP interoperability requirements. PilotFish connects healthcare systems, transforms data and automates standards-based exchange to support FHIR APIs, prior authorization, data access and other regulatory initiatives.

CMS-0057-F Legacy System Integration

Meet CMS-0057-F FHIR API requirements without replacing legacy systems. PilotFish transforms existing healthcare data into FHIR resources and APIs, enabling secure interoperability, streamlined prior authorization and scalable data exchange while preserving existing infrastructure.

Payer-to-Payer FHIR Integration

Enable secure payer-to-payer data exchange using standards-based FHIR APIs. PilotFish connects legacy payer systems, transforms claims, encounter and clinical data, and automates interoperability workflows to support CMS requirements, continuity of care and scalable health plan data exchange. 

Medicaid HIPAA X12 Integration

Support Medicaid HIPAA X12 transactions with flexible, standards-based integration. PilotFish automates data transformation, validation and exchange across Medicaid systems, providers and trading partners, simplifying compliance and enabling reliable, scalable transaction processing.

CMS Compliance ROI

Turn CMS compliance initiatives into long-term operational value. PilotFish automates data exchange, transformation and interoperability workflows to reduce manual effort, accelerate implementation and create reusable integration infrastructure that supports evolving CMS requirements.

Public Health Reporting Integration

Automate public health reporting across agencies, providers and healthcare systems. PilotFish transforms, validates and routes data across HL7, FHIR and other formats, helping organizations meet evolving reporting mandates while reducing manual processes and simplifying interoperability.

EMR and EHR Integration

Simplify integration with major EHR and EMR systems using standards-based interoperability tools and flexible interface configuration. PilotFish enables secure clinical data exchange, faster onboarding of new systems and scalable connectivity across complex healthcare workflows.

Hospitals and Providers

Hospital Integration


Connect hospital systems, applications, medical devices and databases using flexible, standards-driven integration. PilotFish supports regulatory compliance, improves operational efficiency and enables reliable data exchange across clinical environments.

Compliance and Mandates

Solution Provider Integration

Enable secure ANY-to-ANY healthcare integration supporting HL7, FHIR, X12 EDI, DICOM, CCD/C-CDA, APIs and multi-protocol data exchange. PilotFish helps solution providers accelerate interoperability, streamline onboarding and deliver scalable integration capabilities across diverse healthcare environments.

FHIR CMS-0057-F

CMS-0057-F Compliance Facts

Understand CMS-0057-F requirements, deadlines and impacted organizations. Explore the required Patient Access, Provider Access, Payer-to-Payer and Prior Authorization APIs, along with key reporting obligations and implementation timelines for health plans.

Medical Device Integration

Medical Device Integration

Integrate medical devices and clinical equipment with healthcare IT systems using scalable, standards-based connectivity and data transformation. PilotFish simplifies device interoperability, supports secure data exchange and enables real-time clinical data availability across healthcare workflows.

Healthcare Payer

Medical Lab Integration

Integrate laboratory systems and diagnostic workflows using scalable standards-based connectivity and automated data transformation. PilotFish enables secure lab data exchange, streamlined reporting compliance and efficient management of high-volume clinical data environments.

Internet of Things Integration

Connect medical devices, sensors and healthcare systems using middleware designed for secure real-time data exchange and interoperability. PilotFish enables scalable lot integration, improved clinical visibility, reliable device connectivity and seamless data flow across complex healthcare technology ecosystems.

Hospitals and Providers

Healthcare Interoperability

Achieve reliable healthcare interoperability using standards-based integration supporting HL7, FHIR, XML and HIPAA EDI workflows.Pilot Fish enables secure data exchange, flexible system connectivity and scalable infrastructure for modern healthcare integration environments.

Healthcare Information Exchanges

Health Information Exchanges (HIE)

Enable efficient HIE data integration across diverse healthcare systems using standards-based connectivity and automated data transformation. PilotFish supports scalable interoperability, faster onboarding and simplified management of multi-system data exchange.

State Government Integration

Enable secure healthcare data integration for state agencies supporting federal reporting mandates and public health initiatives. PilotFish streamlines legacy system connectivity, improves data accuracy and supports scalable exchange across complex government healthcare ecosystems.

PilotFish Memberships and Partners

HL7 International
Duck Creek
X12
ACORD
MIP

Get Started

See how PilotFish solves your integration challenges — then try it yourself.

Request a Demo

Schedule a personalized demo designed around your data, standards and environment

Start Free Trial

No credit card required · No obligation · Enterprise support included

HL7®, Duck Creek Technologies®, X12®, MIP®, ACORD® and other referenced trademarks and logos are the property of their respective owners. References to these organizations, standards, memberships, and partnerships are provided for informational purposes only and do not imply endorsement except where expressly stated.