Every connection, patched and monitored

Your integration department,
for a monthly fee.


We build, manage, and monitor the connections that carry your orders, results, images, and claims — so a two‑radiologist group or a five‑provider practice gets the connectivity of a large health system, without building an IT department.

We speak HL7 v2 FHIR R4 DICOM X12 claims MLLP · SFTP · APIs
Gateway · fleet view
All interfaces flowing · 1,284,097 messages routed today
The status quo

What you stop doing

Against the fax‑and‑portal status quo, the pain is measurable. Every number below is staff time, leaked revenue, or a study that read late.

0hrs / week

Re‑keying results

Staff hours every week spent re‑typing what another system already knows, because two systems that should talk, don't.

0% referral leak

Losing referrals

Slow results delivery leaks referrals to whoever reports back faster. Electronic delivery keeps the volume you already earned.

0

Missing reading SLAs

When an interface quietly stops, nobody notices until a study is late. We notice — and answer — before you do.

The service

How it works

One engagement, three moves. We scope it, we patch it, and then we own the outcome — around the clock.

STEP 01

We install a gateway

A lightweight, hardened software gateway — on a small appliance, your VM, or hosted in our cloud over an IPsec or WireGuard tunnel. Scoped and quoted once, installed by our engineers.

  • Speaks natively to your EHR, RIS, PACS, and modalities
  • Queues messages locally and replays them after any outage
  • Runs in active‑active pairs behind your load balancer for HA
STEP 02

We patch your connections

Any system, connected to any partner. Orders out, results back, studies to the reading group, charges to billing — routed cleanly and transformed to each partner's dialect in one place.

  • Vendor‑neutral — we connect every system you choose
  • HL7 dialects normalized once, per partner, forever
  • DICOM tag morphing so images land where they belong
STEP 03

We watch, around the clock

Message‑level traceability and answered alerts from our NOC. You'll know exactly what we monitor, how fast we respond, and what happens at 2 a.m. — because the promise is that nothing exciting happens to your interfaces.

  • Real‑time dashboards of volume, errors, and queue depth
  • Full message search and trace, with PHI access controls
  • A named engineer who knows your interfaces by name
The plumbing

Every protocol independent healthcare runs on

A patch bay doesn't care whose equipment is on either end. We normalize each format once and route it anywhere — the messaging standards, the money rails, and the transports that carry them.

Clinical messaging Imaging Money rails (X12) Transports
HL7 v2.xCore

The workhorse. ADT, ORM/OMG, ORU, SIU, DFT — four decades on, still the majority of clinical traffic. Every dialect normalized once, over MLLP.

FHIR R4 / R4BCore

The regulatory future. US Core, SMART on FHIR, Bulk FHIR — the on‑ramp to payer APIs, prior auth, and TEFCA as CMS‑0057‑F deadlines land in 2026–2027.

DICOM · DICOMwebCore

C‑STORE, C‑FIND, C‑MOVE and their REST equivalents. Store‑and‑forward routing with tag morphing — the complete teleradiology image path.

C‑CDACore

Continuity of care documents, referral notes, discharge summaries — routed, validated, and flattened into FHIR or analytics where you need structure.

X12 EDI · 837/835 · 270/271Phase 2

The money rails. Claims, remittance, eligibility, and prior auth — we own the practice‑to‑billing‑partner connection end to end.

MLLP · SFTP · AS2 · RESTCore

The transports underneath everything, over site‑to‑site IPsec or WireGuard VPN — plus embedded LOINC, SNOMED CT, RxNorm, and ICD‑10 terminology mapping.

Live monitoring

We're watching, so nobody has to think about it.

The measure of our work is that you forget the connections exist. Our NOC runs on the same console we give you — dark by design, cable colors for status, and a human on the other end of every alert.

Answered alerts, not just sent ones
An interface that stops at 2 a.m. pages an on‑call engineer — who fixes it and tells you what happened, before your morning worklist.
Message‑level traceability
Full search and trace across every gateway in your fleet, with PHI access controls and audit logging on every lookup.
Store‑and‑forward that never drops a message
Gateways queue locally through WAN and partner outages, then replay automatically. A dropped results feed is a patient‑safety issue — so we don't drop them.
NOC · live message feedus‑east · fleet
99.98%
Interface uptime
41s
Median alert response
0
Messages stuck
Built for the long tail

Who we serve

Every decision is tested against the two‑radiologist group and the five‑provider practice — the customers the enterprise integration vendors were never built to serve.

Teleradiology groups

2–20 radiologists reading for multiple sites

Every new reading contract is a DICOM route in, an HL7 results feed back, worklist integration, and a VPN. Lose an interface at 2 a.m. and you miss turnaround SLAs — so after‑hours reliability is the whole game.

Integration surfaces4+ per contract
Pain we removeAfter‑hours reliability

Independent imaging centers

Single‑site or small‑chain outpatient imaging

Orders in from dozens of referrers, studies out to radiologists, reports back, claims out — four integration surfaces at once. Electronic referrer connectivity is a competitive weapon that wins volume from fax‑bound competitors.

Referrers connectedDozens, electronically
Productized asReferrer connectivity

Private practices & groups

1–25 providers, primary care and specialty

Lab result feeds, specialist and hospital referrals, charge feeds to outside billing, public‑health reporting, and — increasingly — payer APIs for eligibility and prior auth. Narrow needs, but numerous, and low‑churn once they flow.

Won throughMSP & billing channels
Richest sub‑segmentDevice / imaging specialty
For technical buyers

Plugged in. Looked after.

Outcomes, not licenses. You buy working connections and answered alerts — backed by architecture built for healthcare's reliability and compliance demands.

High‑availability architecture

Active‑active gateway pools behind your load balancer, or a documented warm‑standby failover where none exists.

Message‑level traceability

Every message searchable and traceable across your fleet, with PHI access controls and complete audit logging.

SOC 2 roadmap

Security and audit posture built toward SOC 2, because your compliance obligations are our obligations too.

Named‑engineer support

Not a ticket queue. A named engineer who knows your interfaces, your partners, and what "normal" looks like for you.

Talk to an engineer

Tell us what needs to connect.

No sales script — a real integration engineer will scope your interfaces and tell you, plainly, what it takes to patch and monitor them.

You talk to an engineer, not an SDR
A fixed, scoped implementation quote — no per‑interface surprises
We stay when you switch vendors — the patch bay is neutral
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Systems, partners, protocols — whatever you know. The engineer will figure out the rest.
Tell us a little about what needs to connect.
Or email engineers@patchbay.health

Opening your email client…

We've drafted the message for you. An engineer replies within one business day — usually much sooner.