One plan. One population. One region.
A paid pilot is the fastest way for an insurance plan to find out what consented, real-time records do for it. My EHR Data keeps the scope small enough to run inside the plan's existing operations and large enough to measure.
Small enough to run, large enough to measure.
My EHR Data and the insurance plan agree the scope together. A typical starting point is one line of business in one region, with enough members and visits to show a difference.
What the insurance plan provides
- A member rosterThe beneficiaries in scope, with the identifiers the plan already uses.
- A coverage feedSo the tap can confirm coverage the way the plan's current check does.
- Access to claims historyFor the members in scope, so each record is complete from day one.
- A sponsorOne person at the insurance plan who owns the pilot and the review.
What My EHR Data provides
- CardsIssued to the beneficiaries in scope, with activation.
- A separate record storeThe insurance plan's data, built on FHIR, in a store no other plan can reach.
- The plan viewReal-time coverage, visits by source, claims flagged for review, and a live event feed.
- Connection to existing systemsCoverage checks, payment and hospital alerts (ADT) connected to what the plan already runs.
The pilot ends with numbers the insurance plan can act on.
My EHR Data and the insurance plan agree the measures before the pilot starts, take a baseline from the plan's current data, and report against it at review.
Real-time coverage
The share of member visits the insurance plan can see as they happen, compared with the share it sees through claims today.
Out-of-network care captured
Care outside the network, care the beneficiary paid for themselves, and care in another state that reached the insurance plan during the pilot and would not have otherwise.
Services confirmed
Visits and medical equipment (DME) deliveries confirmed by the member at the time, and claims flagged because no one confirmed them.
Time until the insurance plan sees a visit
The time from a visit to the insurance plan seeing it, compared with how long claims take today.
Setup, enrollment, live, review.
Each phase has a defined end point. How long each takes depends on the population and the plan's systems, and My EHR Data agrees it with the plan before starting.
Setup
Business associate agreement signed, roster and feeds connected, record store set up, plan view configured, baseline taken.
Enrollment
Cards issued and activated. Beneficiaries set their consent. Providers in the region are told what the tap does.
Live
Members tap. Records are delivered. The plan view fills. Flagged claims go to the insurance plan's review team as they happen.
Review
Results against the agreed measures and the baseline. The insurance plan decides what comes next.
Tell us about the insurance plan.
The plan's name, the population in mind, the state or region, and the vendors the plan uses today for coverage checks and hospital alerts. A founder replies.