For health plans

See the care you're paying for, while it happens.

My EHR Data delivers clinical and claims records to health insurance plans as care happens, with the member's consent. From any doctor, hospital or pharmacy, in or out of network, into the systems the insurance plan already uses.

Tap. Verified. Connected.

Plan view · Northstar Health
Illustrative data
Beneficiaries124,880enrolled
Real-time coverage98.6%▲ 0.4 vs last week
FWA flags this week312for review
Encounters by sourceLast 7 days
Seen by claims todayNew with My EHR Data
Live events09:44
  • 09:44DME delivery · verified by member ···4821verified
  • 09:42Card tap · CVS #2231 · Rx routedrouted
  • 09:41ADT admit · Mercy General · member ···4821routed
  • 09:39Out-of-network visit · therapy · self-payrouted
  • 09:37Duplicate DME claim · member did not confirmflag
  • 09:35Card tap · Urgent care · Reno, NV (cross-state)routed
Illustrative. Plan name, members and figures are examples.FHIR R4 · consent-routed
What the feed replaces

One feed instead of several.

Insurance plans get information about their members from several vendors, and most of it arrives after the fact. My EHR Data delivers clinical and claims records to the insurance plan in one feed, as they are created, with the beneficiary's permission.

What insurance plans buy today

  • Eligibility checks
  • Access to a national provider network
  • Hospital admission and discharge alerts (ADT)
  • A payer–provider connectivity platform

What My EHR Data delivers

  • Clinical records from every EHR, plus claims history, including care the beneficiary paid for themselves.
  • Confirmation that each service happened. The member confirms visits and equipment deliveries when they happen, so the insurance plan pays fewer bad claims.
  • A full record from day one. Insurance plans taking on a new population, such as a Medicaid contract, can find high-risk beneficiaries immediately.
  • Out-of-network care, made visible. The insurance plan sees care it could not see before and can bring it back in network.
The gap

What insurance plans can't see today.

Insurance plans get most clinical information late or not at all. That makes it harder to manage costs and catch fraud.

$300B+

lost annually to fraud, waste and abuse.

Source: National Health Care Anti-Fraud Association. Up to 10% of total U.S. health spending.

  • 01

    Care the insurance plan never hears about

    Visits the beneficiary pays for themselves, out-of-network care, and care in another state.

  • 02

    Claims arrive weeks later

    By then the money is spent and the chance to coordinate care is gone.

  • 03

    No one confirms the service happened

    Nothing checks with the member that a visit took place or equipment was delivered.

How it works

The member taps a card. The record follows.

The beneficiary's card is their key. One tap at any doctor, hospital or pharmacy shares their clinical and claims history, with their consent. No app, no login. Read the full walkthrough.

Step 1

The member taps their card

At the ER, a clinic, a pharmacy, or a doctor outside the network.

Step 2

My EHR Data checks consent and routes the request

Using the FHIR standard. Nothing moves without the beneficiary's permission.

Step 3

My EHR Data returns the record

To the insurance plan, the treating provider and the member, at the same time.

Patient and provider workflows do not change. The member taps the card they already carry. The provider works in the EHR they already use. The insurance plan receives the feed in the systems it already runs.

Why now

The regulations already require it.

Federal rules now require insurance plans, hospitals and providers to share records electronically and on request. My EHR Data meets several of them for the insurance plan at once. See each rule and what we deliver against it.

RuleFalls onObligation
21st Century Cures ActProviders · Health ITInteroperability, information-blocking rules, and the ONC Health IT Certification Program.
FHIR-based Patient Access APIs (CMS)PayersCMS-regulated payers must expose claims, encounter, cost and clinical data via HL7 FHIR R4 to patient-chosen apps.
ADT notificationsHospitalsHospitals must send electronic event notifications for admissions, discharges and transfers.
45 CFR Part 171, "without delay"ProvidersProviders must give standardized, interoperable record access (FHIR R4, SMART on FHIR) without delay or charge.
CMS Patient-Centric Ecosystem InitiativePayers · ProvidersFHIR-based digital insurance cards, digital check-in, cost-navigation tools, and single-portal claims retrieval.

The law now requires what My EHR Data delivers.

Why My EHR Data

Built on standards. Paid for by insurance plans. Goes wherever the member goes.

Standard technology

My EHR Data is built on FHIR, the same standard CMS requires. Nothing proprietary for the insurance plan to learn.

Paid for by insurance plans

My EHR Data's customers are insurance plans, not providers. We do well when plans see more of their beneficiaries' care and pay fewer bad claims.

The beneficiary's consent opens the door

The beneficiary owns their record and agrees to share it. That is what lets My EHR Data carry it across networks, EHR systems and state lines.

Goes out of network

Provider and insurance plan apps stop at the network edge. The My EHR Data card does not.

Nothing changes for members or providers

No new app, portal or process. The card is tapped where care happens; the record shows up where people already work.

Start with one plan, one population, one region.

A paid pilot shows an insurance plan what My EHR Data can see for its beneficiaries before the plan commits to more.

See what a pilot looks like