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Industry

MDM for Healthcare

Master data management for health systems, payers, and healthcare technology companies — accurate patient identity, provider directories, and member data that support better care and operational efficiency.

The Data Challenge in MDM for Healthcare

Healthcare organizations deal with some of the most complex and consequential master data challenges in any industry. Duplicate patient records create patient safety risks. Inaccurate provider directories lead to claim denials and network compliance failures.

Datagist brings deep healthcare domain expertise to Reltio implementations — understanding the nuances of MPI, provider credentialing, payer-provider relationships, and HIPAA-compliant data management.

Master Patient Index
Provider Directory
Member Management
Provider Networks

Industry Impact

Patient Records Managed20M+
Healthcare Clients10+
Provider Directory Accuracy97.4%
HIPAA Compliance100%

What We Deliver

Domain-specific MDM capabilities built for the unique challenges of your industry.

Master Patient Index

Build a single, accurate patient identity across all care settings, EHRs, and registration systems.

Provider Directory

Maintain accurate, up-to-date provider directories for network management, claims processing, and member services.

Member Management

Unified member records for health plans with eligibility, benefits, and care program data.

Provider Networks

Model provider-organization relationships, specialties, locations, and network participation status.

HIPAA Compliance

HIPAA-compliant data management with appropriate access controls, audit trails, and de-identification capabilities.

Care Coordination

Clean, unified patient data enables effective care management, transitions of care, and population health programs.

How We Engage

A structured, proven approach tailored to the realities of your industry.

01

Data Assessment

Profile patient, provider, and member data across all source systems — EHRs, practice management, claims, and credentialing systems.

EHR ProfilingDuplicate AnalysisQuality Assessment
02

MPI/Directory Design

Design the master patient index, provider directory model, and member profile structure for your specific use cases.

MPI DesignProvider ModelMember Profile
03

Source Integration

Connect Epic, Cerner, Meditech, TriZetto, and other healthcare IT systems to Reltio with FHIR-compatible integration patterns.

EHR IntegrationFHIR APIsClaims Integration
04

Identity Resolution

Configure patient and provider matching rules tuned for healthcare data — including name variations, DOB matching, and address standardization.

Patient MatchingProvider DedupAddress Validation
05

Compliance Configuration

Configure HIPAA-compliant access controls, audit logging, and de-identification for analytics use cases.

Access ControlsAudit LoggingDe-identification

The Results You Can Expect

Tangible business outcomes that Datagist clients in your industry have achieved.

Patient Safety

Accurate patient identity reduces the risk of wrong-patient errors in clinical settings.

Provider Directory Accuracy

Up-to-date provider directories reduce claim denials and improve member satisfaction.

Reduced Administrative Cost

Fewer duplicate records and data discrepancies reduce administrative overhead significantly.

Better Care Management

Unified patient data enables more effective care management, gap closure, and population health programs.

HIPAA Compliance

Well-governed, accurately attributed patient data simplifies HIPAA compliance and audit readiness.

Improved Analytics

Clean master data powers more accurate quality measure reporting, risk adjustment, and outcomes analytics.

Industry Questions Answered

Reltio supports HIPAA-compliant deployments with data encryption, role-based access controls, audit logging, and BAA support. We configure all required controls as part of the implementation.

In many cases yes — Reltio's identity resolution capabilities are well-suited to serve as an enterprise MPI. We assess your existing MPI alongside the implementation to determine the right approach.

Yes — we build FHIR R4-compatible integration patterns between Reltio and EHR systems, enabling standards-based data exchange for patient and provider information.

Yes — we model provider credentialing, licensing, board certifications, and malpractice history as attributes and related entities within the Reltio provider master data model.

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Ready to Transform Your Data?

Schedule a free consultation and let's discuss your specific industry data challenges.