EHR Integration Roadmap
A phased approach that delivers value immediately while building toward seamless EHR integration. Start analyzing denials today — integrate with Epic when you're ready.
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Deploy CoverageUnlocked as a standalone web application. Your denial management team logs in, enters claim details, and receives predictive denial insights within seconds. No IT integration required.
Accessible from any browser, no software installation
Programmatic access for existing RCM workflow tools
Batch analysis of denial files exported from Epic
Can be operational within 24 hours of contract signing
Setup Time
< 24 hrs
IT Involvement
None
Analysis Speed
10-15s
Epic Payer Platform
Connect to Epic's Payer Platform via FHIR R4 APIs to automatically ingest claim and denial data. Eliminates manual data entry and enables real-time denial detection as EOBs arrive.
ExplanationOfBenefit, Claim, ClaimResponse, Coverage
Native integration with Epic's payer connectivity layer
Denials detected and analyzed automatically as they arrive
Secure authentication following SMART on FHIR launch framework
Setup Time
2-4 weeks
IT Involvement
Moderate
Data Flow
One-way in
CDS Hooks + Epic AppOrchard
Full bidirectional integration where analysis results flow back into Epic as clinical decision support alerts, notes, and worklist items. Appeal letters pre-populated with patient context.
Real-time alerts when a claim is at risk of denial BEFORE submission
Listed on Epic's marketplace for streamlined health system procurement
Analysis and appeal letters written back to Epic as encounter notes
Denial tasks appear in existing Epic worklist queues
Setup Time
4-8 weeks
IT Involvement
Full
Data Flow
Bidirectional
Prevent Denials Before They Happen
Shift from denial recovery to denial prevention. Score every surgical claim before submission for approval probability and automatically suggest documentation improvements to maximize first-pass approval rates.
Approval probability calculated as the claim is being built
AI-powered recommendations for missing documentation
Auto-apply each payer's specific requirements and preferences
Cross-client pattern learning (federated, de-identified)
Latency Target
< 2 sec
Denial Prevention
30-50%
ROI Multiple
10-20x
You can be analyzing denials within 24 hours — no IT integration needed. Epic integration comes when you're ready.
Discuss Integration Plan