Clinical Interoperability: Connected Data, Connected Care
Contributing experts: Jeff Plante and Ashok Chennuru
Improving health outcomes starts with seeing the whole person. To deliver truly connected care, care providers need a complete, up-to-date view of each patient’s health. Elevance Health is advancing interoperability — securely linking data across systems — to power whole-health care and more meaningful patient connections.
Our Interoperability Platform
When data moves freely and securely, care does too. Elevance Health’s digital interoperability platform, HealthOS, connects care providers, payers, and patients to share vital information seamlessly — enabling smarter decisions, improved patient experience, and better health outcomes. This bidirectional data exchange creates a complete, real-time view of each patient’s health, while helping care providers streamline workflows and improve financial performance.
One way we connect HealthOS with care providers is through Epic Payer Platform — a secure connection between health plans and care providers within the Epic Electronic Health Record (EHR). This integration enables information sharing inside the care provider’s usual workflow, reducing administrative friction and enhancing patient care with deeper insights into medical history and clinical history.
Advancing the Conversation
Our partnership with Elevance Health exemplifies what true collaboration in healthcare should look like. By sharing data, aligning on quality goals, and prioritizing whole-person care, we’ve been able to deliver measurable improvements in patient outcomes and satisfaction. Elevance Health’s commitment to open dialogue and real-time problem solving has empowered our care teams to address social drivers of health, reduce hospitalizations, and close critical care gaps. Working together, we’re not just advancing health — we’re building healthier communities.
Indiana Exceptional Medical Care, Evansville, Indiana
Turning Data Into Meaningful Insights
Our platform combines clinical data from 50 states and 21 million members - representing 66% of our membership — and includes:1
- Care providers and large health systems.
- Health information exchanges (HIEs).
- State immunization registries.
- Third-party data aggregators.
This ecosystem captures:
- Lab results, immunizations, and prescriptions.
- Real-time admission, discharge, and transfer (ADT) data.
- Key social drivers of health.
When data is unified, care providers gain a clear, real-time view of their patients’ needs — without the traditional manual effort and administrative load.
From Big Data to Better Moments of Care
ID Card Exchange
Keeping track of health plan member ID cards and keeping them synced across care providers has long been a major pain point for patients and care providers. Through electronic medical record (EMR) connectivity with Epic Payer Platform, our ID Card Exchange feature automatically retrieves updated cards.
In one month, 140,000 ID cards were sent to connected care providers — supporting billing and claims accuracy, and better patient experience.2
Claims Payment Simplified
Our data platform and Epic Payer Platform enhance data matches for claims payment. By automating Additional Documentation Requests, our interoperability platform reduces administrative burden and eliminates manual back-and-forth.
Clinical document retrieval timeframes dropped from 5–7 days to as little as 24 hours.3
Prior Authorization Simplified
Electronic medical prior authorization now delivers decisions within minutes, not days — reducing administrative time, cost, and frustration. When authorization comes quickly, patients can focus on getting well instead of waiting for an administrative decision.
Authorizations approved in as little as five minutes.4
Admission, Discharge and Transfer (ADT) Alerts
When a patient is admitted, discharged, or transferred, our platform notifies each member of the care team in near real time. Rapid notification can help care providers offer timely follow-ups that in turn help prevent complications or avoidable readmissions. Alerts also go to care providers via Availity, the widely used multi-payer platform, whether or not the care provider also uses their EMR to view ADT data.
Nearly 5,000 care providers signed up to use our Alerts Hub application to receive clinical notifications, and our affiliated health plans have delivered more than 3,000 of these daily alerts. Alerts Hub messages support care providers' care coordination, continuity of care, Medicare Stars scores and most importantly, better health outcomes for patients.5
Connecting Care for a Healthier Tomorrow
Interoperability is more than technology — it’s a shared commitment to better care. By connecting data, systems, and people, we’re empowering care providers to make faster, more informed decisions that improve outcomes and patient experiences.
Every data exchange, every streamlined process brings us closer to what matters most: healthier patients, successful care provider organizations, and a more connected healthcare system.
1 Elevance Health internal HealthOS report, September 2025.
2 Elevance Health internal HealthOS report, August-September 2025.
3 Elevance Health internal HealthOS report, September 2025.
4 Elevance Health internal HealthOS report, January 2026.
5 Elevance Health internal HealthOS report, January 2026.
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