Healthcare

Patient, provider, and payer master data that enables care coordination and passes audit

Overview

Duplicate patient records aren't just a data problem — they're a patient safety risk. When two records exist for the same person, lab results go to the wrong chart, medications aren't reconciled, and care coordination breaks down. On the provider side, stale directory data misdirects referrals and creates network adequacy compliance issues. We build Reltio MDM solutions calibrated for healthcare's unique sensitivity requirements, where every integration decision has HIPAA implications and every match error has clinical consequences.

Key data challenges

×Duplicate patient records across hospital systems and EMR platforms creating safety and care coordination risks
×Provider directory data chronically out-of-date, incomplete, and inconsistent across credentialing systems
×Claims data quality issues driving reimbursement denials and inaccurate financial reporting
×Member and patient data fragmented across payer, provider, and care management systems
×HIPAA compliance requirements adding constraints to every data integration and sharing decision
×Value-based care programs requiring accurate patient attribution and risk stratification that current data can't support

How Datagist helps

Enterprise Master Patient Index (EMPI) on Reltio Cloud with configurable match sensitivity for clinical safety
Provider directory MDM with real-time credentialing verification and automated update workflows
Payer and member data consolidation enabling unified care management and population health views
Claims data governance framework with quality rules that catch denial-causing errors before submission
HIPAA-compliant integration architecture with role-based access controls and full audit logging
Population health data foundation enabling accurate attribution, risk scoring, and value-based care reporting

Discuss your Healthcare data challenge

We understand the nuances of MDM in your industry.

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