HEALTH PLANS & PAYERS
Stop Chasing Charts. Start Accessing Clinical Data.
Provider EHR systems hold the clinical data payers need for quality measures, Stars, HCC risk adjustment, and prior authorization. ELLKAY retrieves it automatically, at scale, without manual chart requests or extra burden on provider teams.
Why Payers Choose ELLKAY
Payer organizations need clinical data from providers to run quality programs, close care gaps, and calculate accurate risk scores. ELLKAY makes that data available automatically through a nationwide network already connected to the EHR systems where provider data lives. No custom builds. No manual chart requests. No backlog.
Automated clinical data retrieval
Real-time prior auth access
QM reporting, Stars & MIPS reporting
HCC scoring & risk adjustment support
TRUSTED BY HEALTH PLANS AND THEIR EHR VENDOR PARTNERS NATIONWIDE
What Payers Achieve with ELLKAY
ELLKAY gives health plans automated access to the clinical data their programs run on — delivered directly from provider EHR systems at scale, without manual intervention on either side of the exchange.
Faster Prior Authorizations
Real-time clinical documentation access cuts authorization cycle times and eliminates manual chart requests.
Stronger Quality Reporting & Stars Scores
Access the clinical data needed to close care gaps and improve quality measures, Stars, and MIPS performance — without waiting on manual record requests from provider offices.
Accurate HCC Risk Adjustment
Accurate clinical data from provider EHRs supports better HCC coding, reduces audit exposure, and gives risk adjustment programs a more reliable revenue foundation.
Population Health Visibility
Pull clinical data across provider organizations into a consolidated view — so care gap identification, risk stratification, and member outreach are grounded in complete clinical information.
TEFCA & CMS Compliance Ready
Meet CMS interoperability mandates and TEFCA requirements without having to build your own exchange infrastructure from the ground up.
How We Help Payers & Health Plans
Integration & Access
Connect EHRs, laboratories, payers, and digital health platforms. Acquire, transform, retrieve, and exchange healthcare data while reducing integration backlogs and accelerating deployment.
Network Connectivity
Connect once and exchange data across a growing ecosystem of laboratories, payers, providers, and technology partners. Replace point-to-point integrations with scalable network connectivity.
Connected to the EHRs Payers Need
ELLKAY's payer connectivity reaches providers through the EHR platforms where clinical data originates. Existing integrations with Epic, Oracle Health, MEDITECH, and others mean payers can access data where it lives — without starting from scratch at each EHR.
Accessing provider data in Epic environments requires a partner that works inside the architecture, not around it. ELLKAY does exactly that, enabling automated retrieval for quality, risk, and authorization programs across Epic-connected health systems.
With deep connectivity across hundreds of EHR systems, ELLKAY ensures payers consistently get the right clinical data from the right source — without manual follow-up.
[i]*Epic is a registered trademark of Epic Systems Corporation.[/i]
ELLKAY has partnered with Oracle Health, formerly Cerner, for more than 15 years, delivering data conversion, integration, and archiving services across hundreds of healthcare organizations.
As Oracle Health’s exclusive data aggregation partner for non-Cerner sources within the Oracle Health Data Intelligence population health platform, ELLKAY gives payers access to comprehensive, cross-ecosystem clinical data — powering more complete population health insights, quality reporting, and risk adjustment programs without added manual effort.
As an Innovator Member for the MEDITECH Alliance, ELLKAY provides interface engine services and technical infrastructure powering MEDITECH-as-a-Service on the Expanse platform.
This trusted connectivity means payers can count on consistent, reliable access to clinical data from MEDITECH-connected hospitals, including the many smaller and community hospitals that rely on the platform.
ELLKAY serves as the exclusive technical service provider for CommonWell Health Alliance, one of the nation’s largest health data networks, powering nationwide health data exchange across 261M+ patients, 37K+ provider organizations, and 10.2B+ health records.data at scale.
In 2023, CommonWell, powered by ELLKAY’s infrastructure, was officially designated a Qualified Health Information Network (QHIN) under TEFCA, giving payers a trusted, standards-based path to nationwide clinical
Real Results from Real Organizations
See how health plans and their EHR vendor partners use ELLKAY to automate clinical data retrieval, close quality gaps, and move prior authorizations faster.
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ELLKAY BUILDS WITHIN THE NETWORKS, STANDARDS, AND SECURITY FRAMEWORKS THAT DEFINE TRUSTED HEALTHCARE DATA EXCHANGE.
Get Started
Ready to Streamline Payer-Provider Data Exchange?
See how ELLKAY gives health plans automated access to the clinical data behind quality programs, risk adjustment, and prior authorization. Schedule a 1:1 with a solution architect.