Integration Architecture

CoverageUnlocked integrates with your existing revenue cycle systems

RevAmp Integration (Vee HealthTek)

RevAmp
Revenue Cycle
HTTPS/JSON
CoverageUnlocked
Intelligence API
Results
RevAmp Dashboard
Analytics
Claims Data
CPT, ICD-10, Payer
Submit to API
Analyze
Return Score
Intelligence
Risk, Strategies, ROI

Data Flow

  1. 1.RevAmp extracts claims (CPT, ICD-10, payer, amount) via EHR integration
  2. 2.Batch submit claims to /api/intelligence/batch endpoint
  3. 3.Receive portfolio analysis: risk scores, payer patterns, win probabilities
  4. 4.Display insights in RevAmp dashboard for RCM team workflow

ClaimsXM Integration (Signature Performance)

ClaimsXM
Denial Analytics
FHIR/HL7
Appeal Queue
Priority Sorted
Worklist
RCM Worklist
Priority Appeals
Denied Claims
CARC, RARC, Amount
Analyze
Predict Win
Prioritize
Sorted by ROI
Win Prob × Amount

Data Flow

  1. 1.ClaimsXM ingests denied claims with denial codes (CARC/RARC)
  2. 2.Submit to intelligence API for win probability analysis
  3. 3.Receive: win probability score, recommended strategy, ROI estimate
  4. 4.Populate smart worklist: highest-ROI appeals surface first

Generic EHR Integration (Epic/Cerner)

EHR
Epic / Cerner
HL7/FHIR
FHIR Mapper
Translation Layer
JSON
Intelligence
Pre-Submission
Webhook
RCM System
Revenue Cycle
Orders/Claims
CPT, Diagnosis, Docs
Extract HL7
Map to FHIR
Pre-analyze
Risk Alerts
Denial Prob, Advice

Data Flow

  1. 1.EHR generates orders with clinical/billing data (HL7)
  2. 2.FHIR mapping layer translates to standard format
  3. 3.Submit to pre-submission intelligence endpoint
  4. 4.Webhook returns denial risk and recommendations
  5. 5.RCM alerts team to high-risk claims before submission

Common Integration Components

Authentication

  • API Key in X-API-Key header
  • OAuth 2.0 for web flows
  • Webhook signature verification (HMAC-SHA256)

Data Security

  • TLS 1.3 for all transport
  • PHI sanitization before Claude processing
  • No sensitive data in logs

Webhooks

  • Real-time result delivery
  • Retry logic with exponential backoff
  • Webhook event history in dashboard

Monitoring

  • Request logging with request IDs
  • Performance metrics and latency tracking
  • Error rate monitoring per tier