Enterprise Solutions

Healthcare Solutions

What healthcare teams build once their data estate has a Semantic Twin: governed test data, statistically representative synthetic cohorts, and accelerated payor workflows.

The problem

Safe data access should not take weeks

Three things slow healthcare data work down before a single model is trained.

FieldValueStatus
patient_idPT-89421Pending review
mrnM-902418Awaiting approval

Safe access takes weeks, not hours

Compliance reviews, manual de-identification, and multi-team handoffs delay every data request.

FieldValueStatus
diag_code[REDACTED]Broken join
claim_amountNULLUtility lost

Anonymization breaks data utility

Blanket redaction destroys the relationships that make data useful for analytics and AI.

FieldValueStatus
ssn_hashSHA256:***Untracked
export_date2024-04-12No audit log

No unified evidence trail

Transformation records live in separate systems, making audits painful and incomplete.

Tailored workflows

Choose your operational challenge

Explore how KronosX turns healthcare semantics and deterministic privacy into operational solutions across your enterprise.

The Problem

Production data carries too much risk for test environments.

The Outcome

Referentially intact, de-identified datasets delivered in hours instead of weeks.

scandeliverSchemaSubsetTest Set
High-fidelity engineering

Healthcare test data management

Traditional TDM masks random columns, breaking foreign key chains and leaving test environments brittle. KronosX generates referentially intact, multi-table test slices on demand.

  • Referential integrity

    Preserves relationship consistency between members, coverage spans, claim headers, and line items across every underlying table.

  • Valid EDI generation

    Generates syntactically and semantically valid ANSI X12 files for core admin testing.

    • 834 enrollment
    • 837 claims
    • 835 remittance
  • CI/CD pipeline integration

    Provision ephemeral test environments in minutes through automated APIs, replacing months of compliance ticketing and manual data prep.

Statistically calibrated

Synthetic healthcare data

Generate net-new synthetic patient cohorts that mirror your population's clinical distributions, comorbidities, and demographic trends, without copying a real patient record.

DimensionConventional masked dataKronosX synthetic data
Re-identification riskResidual risk remains; linkage attacks can re-identify rare disease combinations.Records are generated from learned distributions rather than copied from patients.
Clinical realismDistorted by masking; cross-field correlations such as age and pregnancy diagnosis are frequently broken.Grounded in the Semantic Twin; preserves clinical plausibility and diagnostic rules.
Edge-case scenariosLimited to whatever historical records happened to be captured in the database.Intentionally over-sample rare conditions and complex multi-payer coordination cases.
Compliance clearanceRequires a full BAA, rigorous governance review, and restricted network zones.Designed for sharing with external vendors, hackathons, and third-party development teams.
Payor expertise

Engineered for health plans and payors

Proven in production with Blue Cross Blue Shield plans and large state health plans to accelerate claims processing, member analytics, and actuarial model development.

Subscriber vs dependent
Resolves family group policies, split coverage windows, and coordination of benefits rules without manual mapping.
Claim adjudication, header and line
Maintains line-item service dates, revenue codes, modifier logic, and reimbursement status across historical claims.
Dual-eligible and Medicare rules
Handles CMS risk adjustment codes (HCCs), Medicaid enrollment spans, and dual-eligible benefit coordination.
Next steps

Where to go next

Give your healthcare data estate a Semantic Twin.

Talk to our team about your estate, your systems, and where your AI work is waiting.

Request a demo