Smart Health Network offers a shared, neutral digital utility that connects providers, payers, and patients through a single permissioned gateway, enabling real‑time data exchange for eligibility checks, claim payments, and other transactions. By providing an API‑first, secure, and auditable platform, it eliminates the need for intermediary data aggregation and central data lakes, reducing administrative overhead and streamlining workflows across the healthcare ecosystem.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare organizations face fragmented systems, excessive paperwork, and costly administrative processes, with 700 incompatible platforms and billions of faxes exchanged annually, leading to delays and reduced patient access to care.
Solution
Smart Health Network provides a shared, neutral digital utility that connects providers, payers, and patients through a single, permissioned gateway. The platform enables real-time data exchange for tasks such as eligibility checks and claim payments without intermediaries or centralized data lakes. By standardizing connections and enforcing full permission and transparency, the network reduces administrative overhead and streamlines workflows across the healthcare ecosystem. Participants access the infrastructure via secure APIs, allowing existing systems to interoperate while preserving data ownership. The utility is designed to be scalable across state agencies, insurers, and care providers, fostering a more efficient and patient‑centric healthcare experience.
Target Audience
Primary customers are state health agencies, health insurers, and healthcare provider networks seeking to replace fragmented workflows with a unified, interoperable data exchange platform.
Features
- Single permissioned gateway that links providers, payers, and patients for end‑to‑end transaction flows
- Real‑time data access without the need for intermediary data aggregation or central data lakes
- Secure, auditable permission model ensuring full transparency and compliance
- API‑first architecture enabling integration with existing legacy and modern health IT systems
- Scalable shared utility model that can be adopted by state agencies, insurers, and healthcare organizations