Payer Interoperability

Balance risk and enhance decision making

The data payers need to increase reimbursements, reduce readmissions, and manage care effectively.

Trusted by leading payers

Care sites
ambulatory labs
US coverage
Health Gorilla offers a robust and secure interoperability platform and national health information network for payers and providers to collaborate more efficiently.

The foundation for a successful payer-provider operation

Health Gorilla unlocks a holistic view of each patient so payers can optimize care delivery with a focus on preventative treatment and chronic care management.

Get data that is:

Unified, deduplicated, and normalized from disparate data sources

Funnel health data into a single, actionable format and ensure data uniformity and interoperability. With FHIR-based APIs, a master patient index, and data processing engine, Health Gorilla provides payers with the data they need to make informed decisions.

Power analytics with structured data so you can measure risk

Allow care teams to access complete clinical records and social determinants of health scores for each patient. By combining aggregated health information with claims data, payers can more accurately assess and balance risk while meeting objectives of value-based care initiatives.

Empower patients with their own medical information

Give consumers the freedom to control their complete healthcare data with My360, an online portal where patients can securely view, store, and share their health data with anyone who needs it.

Get in touch with our interoperability experts to learn more.

Implement more impactful care strategies

  • Find and fill care gaps
  • Improve outcomes and operational efficiency
  • Refine risk modeling
  • Coordinate post-acute follow-up
  • Eliminate duplicative diagnostic testing
Download payer white paper

Success story: Puerto Rico

In early 2020, Puerto Rico Department of Health partnered with Health Gorilla to build and scale the island’s first health information exchange, enabling the electronic transfer of data across dozens of clinical systems and thousands of providers in Puerto Rico.

System integrations

Integrate directly with EMRs, LIS systems, and public health databases

Data aggregation

Aggregate and match data from multiple sources into Health Gorilla

Web-based access

Enable providers to retrieve or share medical records electronically

Customizable analytics

Visualize clinical trends in the population that inform public policy

We selected Health Gorilla as our Health Information Exchange platform. When fully deployed, it will facilitate electronic data exchange across all care facilities in Puerto Rico. Health Gorilla will be fundamental to the modernization of our healthcare infrastructure in Puerto Rico.
Alexander Quevedo
State HIT Coordinator

Secure and trusted


We’re HITRUST R2 certified, which means that we successfully manage cybersecurity risks by exceeding industry-defined information security requirements.

SOC 2 Type 2

SOC 2 Type 2 is a stamp of approval on our controls relevant to data security, availability, processing, integrity, confidentiality, and privacy.


Complying with applicable health data laws, including HIPAA, is ingrained in our culture, processes, and staff training.