UHIN

What UHIN does

UHIN (Utah Health Information Network) is a 501(c)-style nonprofit healthcare coalition founded in 1993 by Utah healthcare providers, payers, and state government to serve as a neutral central hub for electronic healthcare data exchange. It operates two interlocking platforms: a national clearinghouse that routes X12 EDI transactions (837, 835, 277, 999) between providers and health plans, and the CHIE (Clinical Health Information Exchange), which is Utah's only statewide Health Information Exchange. The organization processed 329 million clearinghouse transactions in 2024.

Its product portfolio includes the MYUHIN web-based claims management portal (supporting SFTP, FileTool, and hand-entry submission plus Templates/Drafts), the CHIE Alerts module (ADT notifications, lab results, Falls Risk Indicator, and LACE readmission scores), UHIN Payments for patient billing, and UTRANSEND for archived data exchange. The technology stack is built on Laravel, MySQL, Kafka, Node.js, and Vue.js with containerized deployment; the CHIE is migrating to a FHIR-enabled architecture. UHIN is SOC 2 Type 2 certified and EHNAC HNAP accredited, with HIPAA-compliant operations.

UHIN generates revenue through transaction fees on clearinghouse services (claims submission, eligibility verification, prior authorization, remittance advice) and recurring subscriptions for CHIE clinical data access and alerting. Go-to-market is relationship-led and community-led, supported by a 21-organization Board of Directors (including Aetna, Intermountain Health, HCA Healthcare, Select Health, University of Utah Health Plans, and Utah Medicaid), four standing committees, an annual HIT Conference, and direct portal-based signups. Primary customer segments are healthcare providers (small practices through large systems) and health plans (commercial, Medicaid, and Medicare Advantage). In April 2024, UHIN announced an affiliation with Comagine Health, a national nonprofit healthcare consulting firm, signaling a move toward multi-state reach.

Name

UHIN

Legal name

Utah Health Information Network

Website

https://uhin.org

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

11–50 employees

Short description

UHIN (Utah Health Information Network) is a nonprofit, community-founded healthcare interoperability organization operating a national X12 EDI clearinghouse and Utah's only statewide Clinical Health Information Exchange. It serves providers, payers, ACOs, and government agencies via transaction fees and subscriptions.

Ownership category

akta.pro rank

Product category

Healthcare Interoperability / Health Information Exchange

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Health Services (8000)

akta.pro primary industry

HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

akta.pro secondary industries

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), Care Team Collaboration, Secure Messaging & Clinical Communication within EHR (HLACAAAK)

Keywords

• Healthcare clearinghouse services
• Health information exchange
• EDI claims processing
• Clinical data exchange
• Medical claims management

Headquarters

HQ city

Iskola Út

HQ country

Hungary

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Revenue model

1. Clearinghouse Services: UHIN operates a full-service clearinghouse providing secure data exchange between healthcare providers and health plans. Revenue is generated through transaction fees for claims submission, eligibility verification, prior authorization, remittance advice, and related EDI transactions. Services are available to both providers (via MYUHIN) and health plans.
2. CHIE (Clinical Health Information Exchange) Subscriptions: Health plans and providers subscribe to CHIE services for clinical data access and exchange. This includes ADT alerts, clinical data queries, and population health tools like the Falls Risk Indicator and LACE scores.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels10 records

Core offering

UHIN operates a healthcare clearinghouse and Clinical Health Information Exchange (CHIE) that enables secure electronic transmission of clinical and administrative data between healthcare providers and health plans. The organization processes medical claims and related transactions using X12 EDI standards and provides a community health record via the CHIE, serving as a central interoperability hub for the Utah healthcare community and beyond.

Product overview

UHIN operates a platform-plus-modules architecture centered on healthcare interoperability. Core offerings include the UHIN Clearinghouse for X12 EDI-based claims processing and data exchange between providers and payers, the CHIE (Clinical Health Information Exchange) as Utah's only HIE for clinical data sharing, the MYUHIN web portal for provider claims management with tools like Templates and Drafts, and the National EDI Network for nationwide connectivity. Additional modules include CHIE Alerts providing automated notifications for ADT events, COVID-19 lab results, Falls Risk Indicator, and LACE scores for care coordination. The platform also encompasses UHIN Payments for patient billing and UTRANSEND for archived data management.

Differentiator

Problem solved

Functional benefit

Brands

• MYUHIN: Claims management portal for providers to check eligibility, submit claims, check claim status, and manage revenue.
• CHIE
• UTRANSEND
• National EDI Network

Quantifiable outcome

• 329 million clearinghouse transactions processed in 2024
• +6 more outcomes

Named customers10 records

Segments4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

17 partnerships are on record, tiered core and minor.

• Comagine HealthcoreStrategic or Co-development Partner · 17 April 2024Comagine Health, a national nonprofit healthcare consulting firm, affiliated with UHIN on April 17, 2024. The affiliation combines UHIN's interoperability and clearinghouse expertise with Comagine Health's quality improvement and consulting capabilities. Comagine Health's CEO Marc Bennett discussed managing complexity while building partnerships as a prime contractor for CMS QIN-QIO Region 6. UHIN's Dr. Navina Forsythe (Chief Data Officer) and Sara Hallvik (VP, Data Solutions) have connections to Comagine Health. Comagine Health is also represented on UHIN's Board of Directors.
• Aetna (CVS Health)coreOthersAetna is represented on UHIN's Board of Directors, providing governance oversight and strategic guidance. As a major national health plan, Aetna participates in UHIN's clearinghouse network and standards development initiatives.
• Intermountain HealthcoreOthersIntermountain Health is represented on UHIN's Board of Directors. Intermountain Health representatives spoke at the 2023 HIT Conference. Intermountain is a major Utah-based health system participating in UHIN's interoperability ecosystem.
• HCA HealthcarecoreOthersHCA Healthcare is represented on UHIN's Board of Directors. As one of the largest healthcare systems in the U.S., HCA provides strategic oversight and participates in UHIN's community governance.
• University of Utah HealthcoreOthersRepresented on UHIN's Board of Directors through two seats: University of Utah Health Plans and University of Utah Hospitals and Clinics. University of Utah Health representatives spoke at the 2023 HIT Conference (Laura Marquez, Dr. Victoria Tiase, Michelle Litchman).
• CommonSpirit HealthcoreTechnology or IntegrationCommonSpirit Health became a CHIE data source as of April 2024. Clinical data from CommonSpirit's Utah facilities flows through the CHIE, expanding the clinical data available to CHIE users for care coordination and population health management.
• HL7 InternationalcoreStrategic or Co-development PartnerUHIN is an active participant in HL7 International, the standards development organization behind FHIR and other healthcare interoperability standards. UHIN's CTO (Ryan McLelland) authored blog posts on FHIR, and UHIN is migrating the CHIE to a FHIR-enabled platform.
• X12coreStrategic or Co-development PartnerUHIN actively participates in X12, the standards organization responsible for ASC X12 transactions (837, 835, 277, 278, etc.). UHIN has been implementing X12 standards since 1999, starting with the first national standard 4010, and continues to lead in Utah on standards implementation.
• WEDI (Workgroup for Electronic Data Interchange)coreStrategic or Co-development PartnerUHIN participates in WEDI, a national organization focused on electronic data interchange in healthcare. WEDI proposes solutions for standards adoption including the 6020 Standard for prior authorization and attachments.
• HIMSS (Healthcare Information and Management Systems Society)coreStrategic or Co-development PartnerUHIN participates in HIMSS, attending the annual Global Health Conference & Exhibition. HIMSS is a global advisor on health technology and hosts major interoperability and health IT events.
• CAHP (California Association of Health Plans)minorStrategic or Co-development PartnerUHIN participates in CAHP, a regional health plan association covering California. This participation extends UHIN's reach into the California market and supports cross-state interoperability.
• AHIP (America's Health Insurance Plans)coreStrategic or Co-development PartnerUHIN participates in AHIP, the national association for health insurers. AHIP membership supports UHIN's engagement with major national payers and its involvement in health insurance policy development.
• Civitas (Civitas Networks for Health)coreStrategic or Co-development PartnerUHIN participates in Civitas Networks for Health, a national collaborative of health information exchanges and health data utilities working to accelerate health data interoperability.
• eHealthExchangecoreTechnology or IntegrationUHIN participates in the eHealthExchange, a national health information exchange network that enables secure data sharing among healthcare organizations, federal agencies, and state HIEs.
• MGMA (Medical Group Management Association)minorStrategic or Co-development PartnerUHIN participates in MGMA, the leading association for medical practice administrators. MGMA membership supports UHIN's engagement with practice managers and medical billing professionals.
• Clearinghouse Network PartnerscoreChannel Partner/ Reseller/ DistributorUHIN collaborates with other clearinghouse partners to restore ERA delivery and claims routing following the Change Healthcare cybersecurity incident. UHIN's internal teams work with clearinghouse partners to facilitate smooth transmission of 835 (ERA) and 837 (claims) files. UHIN is part of the Da Vinci Trebuchet Clearinghouse-to-Clearinghouse Prior Authorization Pilot Cohort, alongside Availity, Experian Health, Optum, TriZetto Provider Solutions, and Waystar.
• Utah NEMSIS (National Emergency Medical Services Information System)coreTechnology or IntegrationUHIN partners with Utah's NEMSIS to ingest EMS non-transport fall data. This data is used in conjunction with patient age and encounter diagnoses to power the CHIE's Falls Risk Indicator, providing predictive fall risk assessments for providers.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Zelis: Healthcare payments and clearinghouse network connecting payers, providers, and consumers, with significant overlap in claims routing, ERA delivery, and eligibility verification workflows.
• Availity: Largest US healthcare clearinghouse and clinical data exchange network, connecting providers and payers via X12 EDI and clinical APIs. Most direct competitor to UHIN's clearinghouse and a co-participant in the Da Vinci Trebuchet pilot.
• Waystar: Cloud-based healthcare payments and clearinghouse platform serving providers and payers with claims, eligibility, and prior-authorization workflows. Competes head-on with UHIN's clearinghouse and a fellow Da Vinci Trebuchet cohort member.
• TriZetto Provider Solutions (Cognizant): Long-standing healthcare clearinghouse and revenue-cycle management provider serving providers and payers. Co-participant with UHIN in the Da Vinci Trebuchet clearinghouse-to-clearinghouse prior authorization pilot.

Emerging players

• Health Catalyst: Healthcare data and analytics platform offering clinical data integration, population health, and analytics. Adjacent competitor to UHIN's predictive analytics products (Falls Risk Indicator, LACE) layered on top of clinical exchange.
• Collective Medical (PointClickCare): Real-time care coordination and ADT alert platform used by hospitals, ACOs, and payers. Closest functional competitor to UHIN's CHIE Alerts (ADT, Falls Risk, LACE) products.
• Velatura HIE: Michigan-based HIE and interoperability services organization spun out of Great Lakes Health Connect. Comparable to UHIN's CHIE as a statewide HIE, with adjacent national HIE services.

Regional players

• CRISP (Chesapeake Regional Information System for our Patients): Regional HIE serving Maryland and surrounding states with clinical data exchange, ADT alerts, and care coordination. Most structurally similar HIE peer to UHIN's CHIE, but in a different geography.

Others

• eHealth Exchange: Nationwide health information exchange network connecting federal agencies, HIEs, and providers. UHIN participates in eHealth Exchange, and the network represents an overlapping channel for cross-organization clinical data sharing.

Broad incumbents

• Optum (Change Healthcare): Operates the Change Healthcare clearinghouse and broader interoperability suite, the dominant US healthcare transaction network. UHIN directly engaged with Optum during the Change Healthcare cyber incident response and competes with it in the same Da Vinci pilot.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/uhin_hie
• YouTubeyoutube.com/channel/UCPUozeORgD_vuCFFVYilM_g
• LinkedInlinkedin.com/company/uhinhealth

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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 UHIN