Health Data Innovations

What Health Data Innovations does

Health Data Innovations (HDI) is a US-based healthcare data integration firm founded in 2010 and headquartered in Beachwood, Ohio. The company specializes in the acquisition, cleansing, standardization, and integration of healthcare claims data from disparate payer sources, delivering analytically-ready datasets to health systems, health plans, accountable care organizations (ACOs), population health vendors, and consulting firms. HDI processes data from more than 625 sources across more than 1,500 payer contracts, managing an average of 7.6 years of claim histories covering 17 million lives and approximately $325 billion in healthcare spend. The core service portfolio includes data standardization and transformation, Epic Community Specification claims integration, health plan data provisioning and outbound extract creation, one-time data conversions, data model development and review, and member/patient/provider matching with data augmentation services.

HDI's technology foundation centers on a proprietary platform called Automatix, built and maintained by VP of Platform Engineering Adnan Vora, which codifies data management workflows into software tools that enable scalable processing of payer data. The HDI Core Data Model serves as a shared schema for client data warehouse integration, and certified data processing infrastructure (ETL, SFTP, SAS) has earned HITRUST R2 certification. HDI delivers data directly into leading analytics platforms — Epic, Arcadia, Innovaccer, Tuva Health, and Radial — and validates approximately 15% of incoming claims files for quality issues before delivery, typically within 24 hours of payer receipt.

Commercially, HDI operates a sales-led enterprise model with quote-based managed services pricing, selling directly to healthcare organizations and leveraging strategic channel partnerships with analytics platform vendors. The company is privately held following a 2023 strategic investment from Hughes & Company (a Chicago-based private equity firm), and completed a leadership transition in 2026 with Rob Pinataro appointed as CEO and Rytas Vygantas joining as Chief Financial and Corporate Development Officer, while founder Jonathan Kaye moved to Executive Chairman.

Name

Health Data Innovations

Legal name

Health Data Innovations, Inc.

Website

https://hd-innovations.com

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

11–50 employees

Short description

Health Data Innovations is a US-based managed services firm that acquires, cleanses, standardizes, and delivers healthcare claims data from 625+ sources and 1,500+ payer contracts to health systems, health plans, ACOs, and analytics platforms, managing 17 million covered lives.

Ownership category

akta.pro rank

Product category

Healthcare Data Integration Services

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

akta.pro secondary industry

Clinical & Claims Data Integration for Population Health (payer-provider data fusion) (HLACAHAI)

Keywords

• Healthcare data integration
• Claims data processing
• Medical claims analytics
• Payer data standardization
• Value-based care data

Headquarters

HQ city

Beachwood

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales, Others

Revenue model

1. Healthcare Data Integration Services: HDI provides ongoing data acquisition, cleansing, standardization, and delivery services to healthcare organizations. Services are contracted on a recurring basis with regular data deliveries (typically within 24 hours of payer data receipt). Revenue is generated through service fees for data management and integration.
2. Claims Data Processing: Core service involving processing claims data from multiple payers, transforming it into standardized formats, validating for accuracy, and delivering to client systems. Supports ongoing data delivery as well as one-time conversion projects.
3. Data Model and Consulting Services: HDI offers access to its proprietary healthcare data model and can review/assess client data models. Services can be provided on one-time or ongoing basis depending on client needs.

Go-to-market motion3 records

Distribution channels3 records

Marketing channels7 records

Core offering

Health Data Innovations (HDI) acquires, cleanses, standardizes, and integrates healthcare claims data from multiple payers and delivers it as analytically-ready feeds to client environments, including Epic, Arcadia, Innovaccer, and Tuva platforms. The company manages an average of 7.6 years of claim histories across 17 million covered lives and $325 billion in healthcare spend, performing claims-specific validation and reconciliation on every file before delivery. Services are delivered on a managed, recurring basis with data typically delivered within 24 hours of payer receipt.

Product overview

Health Data Innovations (HDI) provides a unified healthcare data integration platform focused on acquiring, cleansing, standardizing, and delivering claims and related healthcare data. The core platform is organized around six core service offerings: Data Standardization and Transformation, Claims Data Integration for Epic Customers, Health Plan Data Provisioning and Outbound Data Extract Creation, Data Conversions, Data Model Development, and Member/Patient/Provider Matching and Data Augmentation. These services are powered by HDI's proprietary technology platform called Automatix. HDI delivers data into client analytics environments including Epic, Arcadia, Innovaccer, Tuva Health, and client data warehouses, with an average of 7.6 years of claim histories across 17 million covered lives and approximately $325 billion in healthcare spending under management. The company was founded in 2010 and is 100% US-based and HITRUST R2 certified.

Differentiator

Problem solved

Functional benefit

Products and services

• Data Standardization and Transformation Ongoing service that acquires and integrates data from multiple external payer sources into client data warehouse environments, mapping, standardizing, cleansing, and delivering the data in a single format that conforms to client data warehouse requirements.
• Claims Data Integration for Epic Customers Transforms payer claims feeds into Epic Community Specification formats for claims and care gaps, and generates a standard Epic Roster file for the Roster Management Engine, enabling health systems to integrate multi-payer claims data in Epic environments.
• Health Plan Data Provisioning and Outbound Data Extract Creation Service for health plans that serves as a conduit for data requests from vendors, consultants, and internal applications, transforming and formatting data to meet specific content and layout requirements for downstream recipients.
• Data Conversions Service that supports health plan data conversion needs during system conversions, new tool rollouts, and data warehouse changes, with options to clean, augment, or aggregate data to create more efficient datasets.
• Data Model Development Provides HDI's comprehensive healthcare data model to clients, reviews and assesses existing data models, and supports data warehouse structure evaluation, available on a one-time or ongoing basis.
• Member/Patient/Provider Matching and Data Augmentation Matches vendor-supplied data to client master member, patient, or provider files and appends client-specific identifiers onto each claim, with augmentation including NPI numbers, geocoding, and other reference dataset enrichment.

Quantifiable outcome

• 6 payers integrated in 4 months instead of 9 months projected
• +2 more outcomes

Named customers5 records

Segments6 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability2 records

Feature5 records

Partnerships

Three partnerships are on record, tiered core.

• ArcadiacoreTechnology or Integration · 22 April 2025HDI announced deeper collaboration with Arcadia at NAACOS Spring 2025 to accelerate claims and clinical data integration. HDI now transforms and standardizes claims and eligibility data and delivers it to Arcadia in its proprietary data ingest format. The collaboration builds on Arcadia's existing capabilities by giving organizations a more seamless path to high-quality claims data, reducing implementation time and improving integration.
• RadialcoreStrategic or Co-development Partner · 9 January 2025Radial and HDI announced strategic partnership in January 2025 combining HDI's data standardization expertise with Radial's decision support and predictive tools. The partnership enables customers to seamlessly transition from raw data to meaningful insights for value-based care. Radial Care suite delivers insights across readmission prevention, social determinants of health, and post-acute care planning.
• Tuva HealthcoreTechnology or Integration · 28 August 2024HDI announced support for the Tuva Data Model in August 2024. The partnership gives customers a streamlined path to Tuva's analytics-ready open-source data model. HDI can now accelerate integration of claims data for customers who have deployed the Tuva Data Model, which is rapidly gaining acceptance as the gold standard for healthcare analytics and clinical research.

Scale indicators10 records

Recent moves6 records

Expansion highlights5 records

Market position

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/health-data-innovations-inc-

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Health Data Innovations