Health Data Management Platform with CMS-9115 & CMS-0057 Support

Centaur is a FHIR-native Health Data Management Platform (HDMP) that enables Payers, Providers, and Integrated Delivery Systems to establish longitudinal member records - helping them not only comply with interoperability mandates, but also transform quality improvement, value-based care, utilization management, risk adjustment, and care coordination into future-proof workflows.

By ingesting, curating, and normalizing clinical, claims, provider and administrative data into a FHIR-native canonical data model, Centaur provides the foundation for regulatory compliance, real-time analytics, and improved member outcomes across the care continuum.

Comprehensive Data Integration & Standardization

• Prebuilt Connectors: Integrates with EHRs, HIEs, Claims tools, 3rd party vendors and 140+ healthcare data sources.

• Multi-Format Ingestion: Supports CCDA, HL7 v2, EDI/X12, JSON, FHIR, and PDFs.

• Canonical Data Architecture: Establishes a FHIR-native Canonical Data Model across claims, clinical, provider, and administrative domains.

Data Quality, Transparency & Accessibility

• Golden Member Records: Real-time longitudinal records to power analytics and compliance.

• Pipeline Observability: Full visibility, validation, and automatic retry/reprocess workflows for data processing pipelines.

• Regulatory Reporting: Ensures accuracy and integrity for Medicare and Medicaid oversight requirements.

Compliance & Interoperability by Design

• CMS-9115 Rule

• Patient Access API & Provider Directory API

• CMS-0057 Final Rule

• Electronic prior authorization APIs - CRD, DTR and PAS

• Provider Access API

• Payer to Payer Data Exchange

• Mandated reporting for Medicaid and Medicare Advantage.

• ONC Cures Act / USCDI v3: Alignment with national interoperability standards.

• HIPAA & HITRUST: Secure, compliant handling of PHI/PII with audit readiness.

• NCQA / HEDIS (dQMs): Quality measure reporting powered by FHIR-standardized data.

Deployment Model

Centaur’s container-based architecture deploys directly in your Azure tenant (or AWS/private cloud) to provide:

• Full visibility, control, and security of enterprise healthcare data.

• Transparent data pipelines for traceability and compliance.