Hospitals & health systems
- No complete, current map of the systems around Epic.
- Interfaces, SaaS tools and data flows documented piecemeal, by different teams.
- Mapping projects that are out of date before they finish.
The challenge
Few healthcare organizations have a complete view of the systems they run.
Decades of mergers, vendor contracts and workarounds have produced estates that were never documented end to end. What is known about how they connect sits with a few long-serving engineers and in documents that stopped matching reality years ago.
$6.64MAverage cost of a healthcare data breach, the highest of any industry1
20–40%Share of a technology estate’s value that CIOs estimate is tech debt2
Jan 1, 2027Deadline for most health plans to deliver the CMS interoperability and prior-authorization APIs3
Health plans & insurers
- Administrative spend under constant medical-loss-ratio pressure.
- Claims, enrollment and portal platforms inherited through acquisitions.
- Back-office failures that first surface as member complaints.
The evidence needed to fix this already exists in your systems, spread across tools that were never connected.
For hospitals & health systems
Axiarete Epic Ecosystem Manager
A complete map of the applications, interfaces and data flows around Epic. Axiarete builds it from evidence, your people confirm it, and it is maintained as systems are added and retired.
Documentation records what was intended, and runtime evidence shows what actually happens. The Ecosystem Manager keeps the two reconciled.
Where the evidence comes from
Integration in a hospital concentrates at six points. Axiarete connects to each one read-only, with no agents on clinical systems and no configuration changes.
- 01
Epic platform
Bridges, Interconnect, API clients, Care Everywhere and Clarity extracts
- 02
Interface engine
Routes and message counts from Cloverleaf, Rhapsody, Corepoint, Mirth or InterSystems
- 03
Identity
Sign-ons and service accounts in Entra ID, Okta and Imprivata
- 04
Network and web
Firewall rules, web gateway logs and network telemetry
- 05
Platform and devices
Hypervisors, storage and backup, plus IoMT and biomedical systems
- 06
Business records
Vendor spend, the BAA registry, the CMDB and ticket history
How the map is built
Harvest
Collect configuration and runtime evidence from all six sources on a schedule.
Correlate
Resolve the many names for each system, server and vendor into a single graph.
Validate
Anything that is both documented and observed is confirmed automatically. Everything else goes to a short review queue for named owners.
What you receive
Application inventory
Every application, with proof of use, criticality and a confidence score.
Ecosystem architecture
Generated views, from the integration fabric to disaster-recovery dependencies.
Data flow and lineage
Every hop and protocol, and every point where PHI crosses a boundary.
Process to technology
Epic workflows traced to the systems and interfaces that carry them.
Each map also comes with a known-unknowns register: a dated list of the places where coverage stops, with an owner for each.
How it rolls out
- Weeks 1–3
Prove
One domain, such as the external boundary or the lab, mapped and validated.
- Weeks 3–8
Map
Discovery across every layer of the ecosystem.
- Continuous
Manage
Monitoring for configuration drift, silent interfaces and resilience gaps on a map that stays current.
Safeguards
- Read-only access throughout
- No active scanning of clinical segments
- PHI redacted before any AI processing
- AI runs in your own cloud tenancy
- Every finding cited to its source
- Only a named owner can retire an interface
Each phase starts only when the previous one has produced evidence, and it moves at the pace of your governance. Expect four to six hours a week from your experts during validation.
For health plans & insurers
Every member journey runs through a dozen systems.
When one handoff in an enrollment slows down, no dashboard turns red; the member simply doesn’t receive an ID card. Axiarete maps each journey step by step to the systems behind it and watches it continuously.
Value stream · EnrollmentIllustrative
Process steps cycle time · SLA
Applications health score
- Member portal82
- Eligibility engine64
- CRM77
- Billing platform71
- Fulfillment gateway48
- Print vendor interface58
Infrastructure
- API gateway
- Integration queue
- Core database
- Batch scheduler
- Vendor file transfer
ID card ordered. SLA watch: 2.9 days against a 3-day SLA and trending slower. Carried by the fulfillment gateway (health 48), the nightly batch scheduler and vendor file transfer.
See slowdowns early
Steps that are drifting toward an SLA breach are flagged before they breach it.
Catch dropped transactions
Work that falls between two systems is found when it happens, not weeks later in a complaint.
Find what to automate
Manual steps with no system behind them become scoped candidates for automation or AI.
One platform
One map, six ways to use it
The same map serves the hospital and the health plan, the IT team and the board.
Discovery and a CMDB that stays accurate
Every application and dependency found from evidence and written back to your CMDB.
Rationalization
Actual usage, overlap and run cost, so retirement and consolidation decisions hold up.
Modernization
An evidence-based account of what a system does before you replace it, and the case for keeping it when it should stay.
Application security
When a critical vulnerability is announced, a list of every exposed system within minutes.
AI readiness
Proposed AI use cases mapped to the systems and data they would touch, ready for governance review.
CIO command center
One current view of the estate for the board, the auditors and the operations team.
Evidence for the rules you answer to
- HIPAA Security Rule, including the proposed asset-inventory and network-map requirements4
- CMS interoperability and prior authorization (CMS-0057-F)3
- HHS OCR audits and breach response
- CMS program audits and state examinations
- AI governance, from NAIC guidance to state law
- BAA coverage for every external recipient of PHI
Axiarete does not certify compliance; it supplies the evidence your compliance and privacy teams need.
Trust
Built for protected health information
- Read-only by defaultChanges reach production only through your own pipelines and approvals.
- Minimal PHIAxiarete works from technical artifacts, and redacts PHI before any AI model sees it.
- No training on your dataYour data is never used to train Axiarete or third-party models.
- A dedicated environmentIsolated per customer, with customer-managed encryption keys.
- Every finding citedAny conclusion can be traced to the file, log or record behind it.
- Your experts decideYour own people confirm every material finding.
Healthcare organizations rarely let vendors publish their names, so you won’t find logos here. We would rather prove the platform on your own estate.
Get started
Start with one domain and see results in weeks.
Hospitals & health systems
Epic proof of value
One domain, read-only, in two to three weeks. You keep the mapped slice of your ecosystem whatever you decide next.
Health plans & insurers
Eight-week value-stream pilot
Two or three member journeys, mapped and monitored, so you can judge the evidence for yourself.
- 2–3 weeksEpic proof of value
- 8 weeksValue-stream pilot
- Read-onlyNothing changes in production
FAQ
Common questions
Does Axiarete touch clinical systems?
No. All connections are read-only, nothing is installed on clinical systems, and clinical and biomedical network segments are never actively scanned. Axiarete can flag an interface that has gone quiet, but only a named owner can mark it retired.
How does Axiarete handle PHI?
Most of what it reads is technical: configuration, interface routes, logs and tickets. Free text is de-identified before any AI processing, we sign a business associate agreement where one is needed, and your privacy team reviews the setup before anything is connected.
We already have a CMDB and monitoring tools. What does this add?
Each of those tools holds part of the record, updated on its own schedule. Axiarete reconciles them against what your systems actually show and writes a current, validated inventory back into the tools you already own.
Which interface engines and platforms do you support?
Epic on its supported versions and hosting models, and the major interface engines: Cloverleaf, Rhapsody, Corepoint, Mirth and InterSystems. Estates with several engines, more than one EHR or Community Connect affiliates are supported.
How much of our team’s time does it take?
One provisioning request for read-only access, then four to six hours a week from your experts while findings are validated. AxiareteForge engineers do the rest.