Payer Interoperability

Access comprehensive patient data from our QHIN and QHIO

Access more data than any other data retrieval channel at a fraction of the cost, resulting in improved risk adjustment and better quality care.

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 exchange data more efficiently.

Our QHIN bridges the gap between payers and providers

Health Gorilla unlocks a holistic view of each patient so payers can optimize care management and risk adjustment to reduce the cost of care.

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 Patient Access, which enables patients to retrieve their own medical records from our national network and share their health data with anyone who needs it.

Get in touch with our interoperability experts to learn more.

The California DxF and the Role of QHIOs for Payers

  • How to leverage QHIOs to reduce the cost of data acquisition with providers
  • Technical infrastructure and security implications for healthcare payers
  • Use cases for Treatment, Payment, and Operations
  • The future of healthcare data exchange in California
Download QHIOs for payers white paper

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

Comply with TEFCA by participating in Health Gorilla's QHIN

17 Healthcare Organizations Commit to Joining Health Gorilla’s QHIN

Having stable access to comprehensive patient data is critical for our organization to provide high quality care, and relying on federally-endorsed networks offers real confidence around the privacy and security of the data we exchange.
Ishraf Ahmad
Head of Product

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.