In partnership with

Complete patient data access, structured for every vendor

ABI pulls every patient record from PointClickCare, structures it into a full patient profile, and delivers it to the vendors who need it — for care delivery, eligibility determination, and beyond.

How it's built

A complete patient data layer, built on PointClickCare

ABI connects to PointClickCare, pulls every patient record, and structures it into full patient profiles — deduplicating across sources and surfacing missed billables automatically.

Data layer 01 / 03

Full patient data, ingested & deduplicated

Every patient record pulled from PCC via FHIR and REST — not just billing fields. Duplicates removed automatically. Every payload archived so any profile can be reconstructed from the exact data it was built on.

SourcePCC FHIR + REST · read-only ingestionno PCC modification
DedupDuplicate entries removed automatically
StoreTenant-isolated · encrypted at restimmutable
Eligibility engine 02 / 03

Eligibility determined through parsing & full data visibility

Parsing algorithms run against the full patient profile — not just a narrow field check. Missed billables flagged automatically. An optional AI layer logs documentation gaps alongside each determination.

LogicParsing algorithms · deterministic · versionedcustom
CoverageFull patient profile, not just billing fields
FlagsMissed billables surfaced automaticallyauto
Vendor output 03 / 03

Structured data, ready for every vendor

Structured, clean, ready to use. Whether it's care delivery, eligibility, or reporting — the complete patient profile is there without manual entry or cross-referencing. Every record is replayable from the exact data it was built on.

OutputComplete structured patient profileno manual entry
Use casesCare delivery · eligibility · reporting
TrailImmutable journal of every record and decision
Implementation

How a data integration gets built

01

Map the data

We identify every patient data field available in PointClickCare — clinical, administrative, and financial — and define the full profile schema for the vendor's use case.

02

Connect & normalize

We stand up a read-only EHR connection, pull all patient records, deduplicate entries across sources, and validate the structured output against historical data.

03

Apply eligibility logic

Parsing algorithms and facility-specific rules run against the full patient profile. Missed billables are flagged. Every determination is logged with the data it used.

04

Extend to new vendors

New vendors and use cases plug into the same data layer. The PCC connection and patient profiles stay shared — only the downstream logic changes.

Decision Path 7 Nodes
Start Evaluation
start
? Coverage Active Pass
coverage_active is_true
Verify Insurance Eligibility
call_insurance_eligibility
? Documentation Current Pass
docs_current is_true
Scan PCC Documents
scan_documents
? Meets Profile Criteria Pass
meets_criteria is_true
Decision
eligible
Evaluation Log Auto-Assessed
start Evaluation started for patient profile
check_coverage Condition 'Coverage Active?': True
Pass
call_insurance_eligibility Insurance eligibility verified with payer
check_documentation Condition 'Documentation Current?': True
Pass
scan_documents Scanned PCC documents for supporting evidence
check_criteria Condition 'Meets Profile Criteria?': True
Pass
eligible Decision reached: eligible
eligible
Recommendation: All profile criteria met — eligible
Analytics Pipeline reports
Time-to-Bill Funnel

Median and P90 durations for each pipeline stage, from chart sync through final determination, broken down per facility.

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Eligibility Trends

Eligibility outcomes by profile, facility, and review cycle. Spot drift in determination rates before it affects collections.

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Model Accuracy

Agreement rate between the deterministic flowchart and the advisory AI layer. Surfaces nodes where the two disagree most often.

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Architecture

How the system is built

ABI is built on four properties that carry across every vendor and workflow it serves: human error eliminated at the source, a complete audit trail, HIPAA-aware data handling, and infrastructure that scales without proportional headcount.

No manual data entry

Patient data flows directly from PointClickCare into structured profiles. No manual entry, no transcription errors — the data is always current and complete.

Auditability

Every determination is stored with its inputs, the rule path it took, and any AI reasoning. The full record can be reconstructed at any point from the logged data.

Data handling

Encrypted in transit and at rest. Tenant-scoped access and facility-isolated storage. Record changes are archived under HIPAA versioning, never deleted. Custom write-back integrations to vendor and client platforms are available per deployment.

Volume independence

The data layer processes every patient at any volume. Adding facilities or vendors doesn't require proportionally more staff — the infrastructure scales, not the headcount.

In production

Complete patient profiles, live on PointClickCare

ABI is live in skilled nursing facilities through the PointClickCare Marketplace. We pull every patient record, structure it into a full profile, and make it available to the vendors who need it — for care delivery, eligibility determination, and beyond.

Workflow

Every patient. Every data point. Structured and ready for vendors.

ABI pulls every patient record from PCC, deduplicates it, and structures it into a complete profile. Eligibility determined through parsing algorithms and full data visibility. Missed billables flagged automatically. Vendors get everything they need without touching the source system.

PCC Marketplace Read-only FHIR + REST Multi-tenant SNF Deduplication Missed billable detection
CompleteEvery patient field, not just billing data
Read-onlyGET-only PCC API · OAuth2 + mTLS
Zero entryNo manual data input required by vendors
ImmutableEvery record, determination, and input logged
The problem with patient data today

Why vendors can't get what they need from the EHR

Patient data lives in the EHR but arrives at vendors incomplete, duplicated, or not at all. Getting a full picture of any patient requires manual effort, cross-referencing multiple sources, and accepting that something will be missed.

01

Manual data entry

Vendors manually pull and re-enter patient data from the EHR. Every step introduces the possibility of transcription errors and delays that compound downstream.

02

Missed billables

Without full data visibility, eligible patients go unbilled. Services are rendered, criteria are met, but the connection between the patient record and the billing event is never made.

03

Duplicate records

Patient data pulled from multiple sources creates duplicate entries that have to be manually reconciled — a process that takes time and still produces inconsistent results.

04

Incomplete profiles

No single source gives vendors the full picture. Clinical, administrative, and financial data live in separate places — vendors piece it together manually, or they work with gaps.

ABI is live on PointClickCare — complete, structured patient data for every vendor that needs it. If you're working on a patient data problem in healthcare, we're open to a conversation.

FAQs

Frequently Asked Questions

If yours isn't listed, please feel free to reach out directly.

Yes. While ABI reads patient data from PointClickCare in read-only mode, we can set up custom integrations to push structured data back into your own platforms — whether that's a vendor system, internal tool, or another EHR. The write-back architecture is configured per client based on your workflow needs.
No. Billing is one outcome of having complete, structured patient data — not the product itself. Vendors use ABI's patient profiles for care delivery, eligibility determination, reporting, and any other workflow that depends on knowing everything about a patient.
PointClickCare is live (FHIR + REST, OAuth2 with mTLS). The architecture treats the EHR as a pluggable source — additional systems can be added on request.
Core eligibility is deterministic — the flowchart runs the same way every time. An intelligent advisory layer evaluates documentation sufficiency and flags denial risk before data ever leaves the pipeline, with full reasoning logged for every decision. But the bigger point: we’re not just a dashboard. We push perfectly structured, ready-to-use data directly to your system — in exactly the format your workflow expects. Your team may never need to log in.
Onboarding runs in stages: data mapping, read-only EHR connection, normalization and deduplication validation, parallel run against historical records, then live delivery to the vendor. Timeline depends on the scope of data fields needed and the number of facilities involved.
Encrypted in transit and at rest. Tenant-scoped access and facility-isolated storage. Record changes are archived under HIPAA versioning, never deleted. Sync-log retention is aligned to compliance requirements.