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HealthFAX AI Architecture & TechnologyIntelligence Built for Healthcare

A multi-model AI architecture that perceives clinical patterns, reasons through complex scenarios, and coordinates intelligent action — across every domain of your organization.

HIPAA Compliant · SOC 2 Type II · FHIR-Native · HITRUST Certified

Our Technology Foundation

OptraHEALTH is built on a powerful combination of AI, machine learning, and healthcare expertise. Our proprietary technology powers intelligent clinical and revenue decision-making at scale.

Generative AI

Generative AI

  • Next Gen Patient Engagement
  • Conversational Agents
  • AI Report Explanation
  • Medical Coding, Prior Auth & EBV
  • Automated Data Curation
Intelligent Streamlined Workflows

Intelligent Streamlined Workflows

  • Automate repetitive tasks
  • Reduce errors with AI
  • Free up staff to focus on higher-value care activities
  • Real-time task routing and prioritization
  • Cross-system process orchestration
Custom LLMs

Custom LLMs

  • Extract & Anonymize EMR data
  • Prepare EMR data for LLMs
  • RAG based LLM extension
  • Custom & Private LLM's
  • HIPAA, PHI, PII compliant
Analytics & Machine Learning

Analytics & Machine Learning

  • Extract meaningful insights from clinical and financial data
  • Predictive modeling for denials, readmissions, and risk
  • Improve outcomes with data-driven recommendations
  • Operational benchmarking and performance trending
  • Revenue forecasting and resource optimization

Inside the HealthFAX AI Core

HealthFAX pairs large language models with a curated clinical knowledge base, so answers are grounded in validated medical content rather than open-web text.

2M+

Validated clinical questions and answers

65M+

Ontology concepts for normalizing clinical and biomedical data

70,000+

Conditions, medications, procedures and payer policies covered

  • • Retrieval-augmented generation. Custom LLMs retrieve from your private data and the clinical knowledge base before they answer.
  • • Standard vocabularies. ICD and SNOMED for clinical coding; HGVS, ClinVar and HPO for genomic and phenotype data.
  • • Human-in-the-loop. Clinical and financial decisions stay with your teams; HealthFAX surfaces the evidence and the recommended action.

How Data Flows Through HealthFAX

Step 1

Connect

EHR, claims, lab, eligibility and patient data arrive through HL7 v2, FHIR R4, X12 or file feeds.

Step 2

Normalize

Data is mapped to standard vocabularies so it can be compared across systems and sites.

Step 3

Reason

Custom LLMs and predictive models assess risk, find gaps and recommend the next step.

Step 4

Act

Modules for revenue optimization, denial prevention, clinical intelligence, patient engagement and workflow automation put the result to work.

Deployment and Security

HealthFAX runs on Microsoft Azure HIPAA-eligible services. OptraHEALTH is SOC 2 Type II audited and HITRUST certified, signs BAAs with customers that share PHI, and can deploy custom LLMs privately, including on-premises. Read more about our security and compliance and supported Integrations.

Technology FAQ

What is HealthFAX?

HealthFAX is OptraHEALTH’s patented clinical intelligence and AI automation platform. It powers ready-built modules for revenue intelligence, clinical intelligence, patient engagement and research intelligence.

Does HealthFAX use large language models?

Yes. HealthFAX uses custom and private LLMs with retrieval-augmented generation (RAG), grounded in a curated clinical knowledge base rather than open-web text.

How do you keep AI output clinically accurate?

Responses draw on more than 2 million validated clinical Q&As and 65 million ontology concepts, and clinical and financial decisions stay human-in-the-loop.

Where does HealthFAX run?

HealthFAX runs on Microsoft Azure HIPAA-eligible services. Custom LLMs can also be deployed privately, including on-premises where required.

How does HealthFAX connect to our systems?

Through HL7 v2, FHIR R4, X12 EDI, SFTP file feeds and REST APIs, using pre-built connectors for major EHR, billing and lab systems.

Experience OptraHEALTH's Technology

See how our intelligent platform transforms healthcare operations.