EIXSYS
EIXSYS is a Texas-based technology company founded in 2010 that builds and operates custom software, data interoperability, and AI solutions for regulated industries. Its flagship EIXSYS 360 platform unifies EDI, FHIR, CMS EDGE, and payments workflows for healthcare payers, TPAs, and provider networks, with adjacent services in finance, insurance, supply chain, real estate, and government.
- Company typePrivate
- Founded2010
- HeadquartersRound Rock, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What EIXSYS does
EIXSYS, LLC is a privately held Texas technology company founded in 2010 and headquartered in Round Rock, TX. The company designs, builds, and operates custom software, data interoperability solutions, and AI-powered automation for regulated industries, with a primary focus on healthcare payers and adjacent verticals including finance, insurance, supply chain, real estate, and government. Its flagship offering is EIXSYS 360, a productized payor IT platform that consolidates EDI (837/834/835/277CA/999/TA1, 270/271, 276/277, 278), FHIR/Smart on FHIR, CMS EDGE, risk adjustment, IRS AIR, APTC reconciliation, and provider-directory workflows onto a single AI-assisted data layer — replacing the multi-vendor stacks typical of Medicare Advantage, Medicaid MCOs, CHIP plans, QHP issuers, and TPAs. The platform is built on AWS and Microsoft Azure with HIPAA-eligible services and is supported by SOC 2 Type II, HIPAA, and ISO 27001 certifications.
EIXSYS extends the same interoperability and managed-operations playbook — governed data pipelines, reconciliation, plain-language AI copilot, and agentic reconciliation — to its six target verticals through complementary service lines: custom software development, data interoperability, AI applied, DevOps/CI/CD, IT consulting, and managed run/operations. The company embeds AI in practical workflows (data mapping, NLP query, agentic reconciliation, anomaly detection) rather than offering a standalone AI product.
The business model combines multi-year recurring platform subscriptions (EIXSYS 360), custom software development on project-scope pricing, and managed services. Platform engagements use outcome-based pricing — fee tied to measurable administrative-cost reduction, with no billing if no savings are delivered. Go-to-market is direct enterprise field sales and inside sales — no channel partners or resellers — with free 30-minute consultations, readiness assessments, and demos targeting CIOs, CTOs, compliance officers, and operational decision-makers. EIXSYS has been self-funded since founding, with no disclosed external capital, and is led by President & CEO Amin Salahuddin.
EIXSYS firmographics
Firmographics- Name
- EIXSYS
- Legal name
- EIXSYS, LLC
- Website
- https://eixsys.com
- Company type
- Private
- Founded year
- 2010
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- EIXSYS is a Texas-based technology company founded in 2010 that builds and operates custom software, data interoperability, and AI solutions for regulated industries. Its flagship EIXSYS 360 platform unifies EDI, FHIR, CMS EDGE, and payments workflows for healthcare payers, TPAs, and provider networks, with adjacent services in finance, insurance, supply chain, real estate, and government.
- Ownership category
- akta.pro rank
EIXSYS industry classification
Industry- Product category
- Healthcare Payer IT Software & Data Interoperability
- NAICS
- Computer Systems Design and Related Services (54151), Custom Computer Programming Services (541511)
- SIC
- Services-Computer Integrated Systems Design (7373), Services-Computer Programming Services (7371)
- akta.pro primary industry
- Managed File Transfer (MFT) & B2B/EDI Integration (HDAEACAG)
- akta.pro secondary industry
- B2B/EDI & Supply Chain Process Automation Platforms (HDAEAHAK)
Keywords
Where EIXSYS is headquartered
LocationHeadquarters
- HQ city
- Round Rock
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
EIXSYS business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales, Others
Revenue model
- Outcome-Based Platform Engagements: Fee tied to measurable outcomes delivered; if administrative cost is not reduced, the contract does not bill. This aligns EIXSYS incentives with client success and reduces buyer risk.
- Custom Software Development: Custom application design, development, and integration services. Clients own the code and roadmap. Pricing based on project scope and complexity.
- EIXSYS 360 Platform Subscription: Annual platform licensing for the EIXSYS 360 payor workflow platform. Consolidates multiple vendor workflows onto one platform with one contract and one integration point.
- Managed Services: Ongoing monitoring, support, and continuous improvement of deployed systems. One team accountable from architecture through daily operations.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Outcome Based/ Performance | Multi-year contract | Outcome-based platform pricing with fee tied to measurable cost reduction |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels5 records
EIXSYS product offering
Product offeringCore offering
EIXSYS designs, builds, connects, and operates enterprise data systems for regulated industries. The flagship is EIXSYS 360, a unified payor IT platform consolidating EDI, FHIR, CMS EDGE, risk adjustment, and payments into one AI-assisted system for health plans, TPAs, and provider networks. Complementing the platform, EIXSYS delivers custom software development, data interoperability, applied AI, DevOps/CI/CD, IT consulting, and managed operations - all built on AWS and Azure with SOC 2 Type II, HIPAA, and ISO 27001 certifications.
Product overview
EIXSYS offers a hybrid approach combining a unified productized platform with professional services. The flagship product is EIXSYS 360, a payor IT platform for health plans, TPAs and provider networks that consolidates EDI, FHIR, CMS EDGE, risk adjustment and payments workflows that would otherwise require multiple vendors. Complementing the platform, EIXSYS provides services including custom software development, data interoperability, AI-powered automation, DevOps/CI/CD, IT consulting, and managed operations. Services are delivered by one accountable team that builds and runs the solutions, with outcome-based pricing on platform engagements.
Differentiator
Problem solved
Functional benefit
Brands
- EIXSYS 360: A payor IT platform that unifies EDI, FHIR, CMS EDGE, risk adjustment and payments into one AI-assisted system for health plans, TPAs and provider networks.
Products and services
- EIXSYS 360
- Custom Software Development
- Data Interoperability
- AI, Applied
- IT Consulting
- Managed & Run
- DevOps & CI/CD
- FHIR API Implementation
- Legacy Claims-System Cloud Migration
- Claims Data Warehouse & Analytics
- Real-Time Reporting Dashboards
- Risk Adjustment, Quality Measures & Stars Analytics
Quantifiable outcome
- Estimated annual savings of $225,000 for organizations consolidating from 7 vendors onto EIXSYS 360 (example: $675,000 over 3 years)
- +1 more outcomes
Companies that use EIXSYS
Customer profileSegments7 records
Ideal customer profiles7 records
EIXSYS technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability6 records
Feature6 records
EIXSYS partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- Amazon Web Services (AWS)corePrimary cloud infrastructure provider. EIXSYS builds and operates on AWS using HIPAA-eligible services including VPC isolation, KMS-managed encryption, and CloudTrail audit logging. AWS Business Associate Addendum covers healthcare workloads.
- Microsoft AzurecoreSecondary cloud infrastructure provider alongside AWS. EIXSYS uses Azure HIPAA/HITECH-capable services with private networking, Key Vault encryption, and Entra ID access controls for healthcare and regulated workloads.
- HL7 International (Da Vinci Project)coreEIXSYS implements FHIR-based prior authorization using HL7 Da Vinci implementation guides. Hands-on FHIR R4 and HL7 standards experience for CMS-0057-F compliance.
Scale indicators4 records
Recent moves6 records
Expansion highlights6 records
EIXSYS competitors and assessment
Company assessmentBroad incumbents
- Informatica: Informatica is a major data integration, data quality, and master data management platform serving regulated industries. Comparable to EIXSYS in governed data pipelines and reconciliation, but operates as a broad horizontal platform rather than a payer-specialized product.
- MuleSoft (Salesforce): MuleSoft is a leading enterprise integration platform (iPaaS) acquired by Salesforce, providing API-led connectivity across EDI, HL7, and proprietary data sources. Comparable to EIXSYS for the data-interoperability layer across healthcare, finance, and supply chain, though broader in scope and not payer-specialized.
- Change Healthcare (Optum): Change Healthcare, now part of Optum/UnitedHealth Group, provides healthcare data exchange, claims processing, and revenue cycle solutions at scale. Comparable to EIXSYS in payer-provider data interoperability and EDI transactions, but at vastly greater scale and with broader payer-provider network reach.
- Optum (UnitedHealth Group): Optum is the health services and innovation arm of UnitedHealth Group, providing payer IT, analytics, and care delivery platforms. Comparable to EIXSYS for payer-IT and CMS-compliance enablement at enterprise scale, but as a much larger incumbent with captive demand from UnitedHealthcare.
Direct peers
- HealthEdge: HealthEdge provides a core administrative platform (HealthRules Payor) and complementary solutions for health plans, covering claims, benefits, and provider data. Comparable to EIXSYS 360 as a payer-IT platform targeting Medicare Advantage, Medicaid, and commercial plans with FHIR/API modernization capabilities.
- CitiusTech: CitiusTech is a healthcare technology services and solutions firm offering custom software, data, and AI services to payers, providers, and life sciences organizations. Comparable to EIXSYS as a regulated-industry custom software + data interoperability + AI services provider with a healthcare-payer focus.
- Availity: Availity operates a healthcare information network that connects payers, providers, and technology partners, with deep EDI and clinical data exchange capabilities. Comparable to EIXSYS for payer-provider data exchange, eligibility/claims transactions, and interoperability workflows.
- Edifecs: Edifecs is a healthcare-focused data integration and interoperability platform vendor specializing in EDI, FHIR, and value-based care workflows for payers and providers. Directly comparable to EIXSYS 360 in EDI/FHIR mapping, trading-partner connectivity, and CMS compliance enablement for health plans.
- Rhapsody (formerly Corepoint Health): Rhapsody provides healthcare integration engines and interoperability solutions for HL7, FHIR, and legacy data formats. Comparable to EIXSYS for healthcare-specific data interoperability and CMS-0057-F enablement, though more focused on engine/iPaaS delivery than full payer platforms.
Emerging players
- Datavant: Datavant focuses on healthcare data connectivity and de-identification for payers, providers, and life sciences. Comparable to EIXSYS in healthcare data exchange and interoperability, with overlap in payer data linkage and governed pipelines for regulated use cases.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
EIXSYS social profiles
Digital presenceEIXSYS compliance and trust
Trust signalCompliance3 records
EIXSYS financial estimates
Financial estimateRevenue estimate
Valuation estimate
EIXSYS leadership team
Management profileNumber of profiles
Profiles1 record
EIXSYS funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
EIXSYS M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about EIXSYS
What does EIXSYS do?
EIXSYS designs, builds, connects, and operates enterprise data systems for regulated industries. The flagship is EIXSYS 360, a unified payor IT platform consolidating EDI, FHIR, CMS EDGE, risk adjustment, and payments into one AI-assisted system for health plans, TPAs, and provider networks. Complementing the platform, EIXSYS delivers custom software development, data interoperability, applied AI, DevOps/CI/CD, IT consulting, and managed operations - all built on AWS and Azure with SOC 2 Type II, HIPAA, and ISO 27001 certifications.
Is EIXSYS a public or private company?
EIXSYS is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was EIXSYS founded?
EIXSYS was founded in 2010. It employs 11 to 50 people.
Where is EIXSYS based?
EIXSYS is headquartered in Round Rock, United States, in the North America region.
How does EIXSYS make money?
Four revenue lines are on record. Outcome-Based Platform Engagements are the primary driver. The others are custom Software Development, EIXSYS 360 Platform Subscription and managed Services.
Who are EIXSYS's main competitors?
Broad incumbents on record are Informatica, MuleSoft (Salesforce), Change Healthcare (Optum) and Optum (UnitedHealth Group). Direct peers are HealthEdge, CitiusTech, Availity, Edifecs and Rhapsody (formerly Corepoint Health). Datavant is listed as an emerging player.
Does EIXSYS have an API?
No public API is recorded for EIXSYS.
What industry is EIXSYS in?
EIXSYS's product category is Healthcare Payer IT Software & Data Interoperability. Its primary akta.pro industry code is HDAEACAG, Managed File Transfer (MFT) & B2B/EDI Integration, with a secondary code of HDAEAHAK, B2B/EDI & Supply Chain Process Automation Platforms. Its NAICS code is 54151 and its SIC code is 7373.