Health Me Medical Center insurance partner

Insurance Data-Integration Partner Program

Become an Insurance Operational Partner

Integrate claims, eligibility, and care-management data with Health Me Medical Center to improve outcomes for shared members. Build a secure, FHIR-native data bridge between your payer systems and our care intelligence platform.

FHIR-Native Integration

Connect via HL7 FHIR R4, X12 EDI, and REST APIs for real-time eligibility and claims.

Regulatory Compliance

HIPAA, HITRUST, SOC 2, and BAA-covered data exchange built in.

Multi-Jurisdiction

Support state and national payers with multi-territory licensing.

Application Form

1. Company Information*

Company Name*

Business Entity Type

Tax ID / EIN

Years in Operation

NAIC License Number

States Licensed (comma-separated)

2. Primary Contact*

Contact Name*

Contact Title

Email*

Phone*

Alternate Phone

3. Company Address*

Street Address

City

State / Province

ZIP / Postal Code

Country*

Preferred Language

6. Security & Regulatory Compliance*

Regulatory Licenses

Data Security Measures

Breach Notification Policy

PHI Handling & Minimum-Necessary Procedures

Additional Compliance Attestations

7. Professional References (minimum 2)

Reference 1

Name

Relationship

Phone

Reference 2

Name

Relationship

Phone

8. Additional Information

How did you hear about this opportunity?

Why do you want to partner with Health Me Medical Center?

9. Legal Acknowledgments & Consents*

I acknowledge that I have read and understand the Operational Partner Agreement summary, and I agree to review and sign the full agreement upon approval. I understand this application does not constitute a binding agreement.

I acknowledge that any misrepresentation, fraud, or false information in this application or in the course of the partnership will void any agreement, result in immediate termination, and may result in civil and criminal prosecution. I understand that Health Me Medical Center does not pay any benefits or taxes on our behalf — as an independent partner, we are responsible for our own taxes, insurance, and fringe benefits.

I acknowledge that we will maintain HIPAA, data-security, and all applicable regulatory compliance throughout the partnership, execute a Business Associate Agreement (BAA) as a condition of activation, and report any privacy or security incident within 24 hours of discovery.

Your information is encrypted and securely stored. Only authorized Health Me administrators can access sensitive fields.