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Industries

Four sectors, one set of hard problems.

Different systems, different regulators, different vocabulary — but the same underlying question. Can you prove what happened, and can you settle it correctly?

01

Pharmacy

Retail, specialty, mail-order and long-term care. Dispensing system integrations, claim and remittance flows, copay collection and hub connectivity.

Typical work

  • Dispensing and POS integration
  • NCPDP claim and reversal handling
  • Copay assistance and hub data exchange
  • Patient balance collection
02

Providers & practices

Groups, clinics and ancillary services that need billing, scheduling and payment systems working as one — without adding headcount to bridge the gaps.

Typical work

  • Practice management and EHR interfaces
  • Patient statements and online payment
  • ERA posting and reconciliation
  • Revenue cycle reporting
03

Payers & benefit administrators

Eligibility, claims and member-facing services that depend on accurate, timely data exchange with everyone downstream.

Typical work

  • Eligibility and benefit verification
  • Claim intake and adjudication interfaces
  • Member and provider portals
  • Disbursement and EFT flows
04

Payments & fintech

Processors, ISVs and platforms bringing payment capability into regulated healthcare settings, where PCI scope and PHI handling collide.

Typical work

  • Processor and gateway integration
  • Tokenisation and vault design
  • Settlement and ledger reconciliation
  • Merchant onboarding automation

Standards

The formats we work in every day.

Knowing the standard is the easy half. Knowing how a particular vendor interprets it is the half that saves a project.

X12 EDI
270/271 eligibility, 276/277 claim status, 837 claim submission and 835 remittance advice.
NCPDP
Telecommunication standard for pharmacy claims and reversals, plus SCRIPT for e-prescribing.
HL7 v2 & FHIR
ADT, ORM/ORU and scheduling messages, and modern FHIR R4 resources for clinical and administrative data.
Payment rails
Card networks via processor APIs, ACH via NACHA-formatted files or bank APIs, and push-to-card payouts.

Not sure which of these you are?

Plenty of our clients sit across two or three. Describe your setup and we will tell you where the integration risk actually is.

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