Healthcare mandates · Interoperability · AI Readiness · Operational execution
BYOC
your infrastructure, your data, your perimeter
SDK
embeds into existing stacks — no re-platforming
Zero PHI
no egress, no vendor data dependency, no new audit surface
Regulatory compliance products built for the implementation gap.
The mandate is published. The deadline is set. The gap between a conformance specification and a working deployment is where most organizations stall — and where EG14Y operates.
Prior authorization · FHIR interoperability · EDI modernization · Payer compliance workflows
Regulatory strategy
Implementation products
Platform-scale resilience
About
EG14Y Systems Inc
A Delaware C-Corporation incorporated in April 2026. Built by a founder with direct experience inside healthcare interoperability systems and CMS mandate implementations.
The problem
The mandates exist. The standards are published.
What's missing is the working implementation — on deadline, inside their own walls.
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The mandate gap
The distance between a published IG and a production deployment is where non-compliance risk accumulates.
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The expertise gap
FHIR and EDI expertise rarely sit in the same team. Building both takes longer than any deadline allows.
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The vendor risk gap
Most tooling requires data to leave your environment — creating audit surface and liability you didn\'t ask for.
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The re-platforming trap
Full replacements rarely land before the deadline they were bought for. Fast organizations embed into what already works.
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The PA readiness gap
Prior authorization failures accumulate upstream of the decision — in incomplete documentation, mismatched codes, and requests that aren't submission-ready before they're routed. The gap closes upstream — before the request routes and before the denial occurs.
Who we work with
If any of these sounds like your situation, we should talk.
01
You have a CMS deadline on the calendar and no production FHIR implementation behind it.
02
Your team is processing high volumes of prior authorization work manually — and the regulation now requires you to automate it.
03
You need FHIR compliance tooling that runs inside your own infrastructure — not something that creates a new data dependency.
04
Your PA denial rate is climbing and you suspect the problem is upstream — incomplete submissions, mismatched criteria, evidence gaps.
Start a conversation
No deck required. Just tell us your situation.
The 14Y Suite
One product line. Five coverage tiers.
Each tier maps to a distinct compliance obligation — deployable independently, designed to expand together.
14Y · Conform
Phase 1
ACCESS & PA Readiness
FHIR R4 conformance, prior authorization transparency, and the operational workflows required under the CMS ACCESS obligation.
CMS ACCESS Rule · CMS-0057-F Prior Authorization Final Rule
14Y · Automate
Phase 2
Operational Depth
PA automation, eligibility exchange, routing, and outcome tracking — inside your existing infrastructure, without replacing it.
PA Final Rule operational requirements · Da Vinci IG adoption
14Y · Exchange
Phase 3
Full Mandate Coverage
Prior authorization submission, claims portability, and member data access — completing the payer data exchange mandate.
Da Vinci PAS · PDex · CMS full mandate obligations
14Y · Sustain
Phase 4
Resilience & Continuity
EDI resilience, payment reconciliation, coverage integrity, and enrichment — BYOC, inside your own cloud perimeter.
USCDI v3 · HIPAA EDI modernization · Ongoing CMS obligations
14Y · Readiness
Phase 5
The Layer Before the Decision
AI-assisted preparation. Human-approved outcomes. Every request is scored before it reaches automation.
Criteria mapping · Evidence assembly · Validation · Routing · Readiness scoring
AWS · Azure · Google Cloud · Bedrock · Azure OpenAI · Vertex AI / Gemini
BYOC or embedded SDK · No PHI outside your environment · Model provider configurable at deployment · Engagement scoped to your environment, your stack, and your deadline
See delivery timeline →
Regulatory drivers
Regulatory drivers
Regulatory forces shaping the roadmap.
FHIR R4 conformance obligations
FHIR R4 conformance and access obligations for MA and Medicaid managed care plans.
Prior Authorization Final Rule — APIs
FHIR-based PA, Provider Access, and Payer-to-Payer APIs required for MA, Medicaid, and CHIP plans.
Implementation guide adoption
PAS, PDex, EOB, and ATR IGs move from optional to expected. Conformance pressure on implementation guide adoption is increasing.
Data class expansion
Expanded data class requirements under HTI-1 broaden exchange obligations.
Bridging legacy transactions
Legacy EDI transactions aren't going away. Organizations need translation between EDI and FHIR without re-platforming their back office.
No-PHI, BYOC demand
Compliance tooling must run inside the organization's own perimeter — no PHI egress, no vendor data dependency, no audit surface you didn't already own.
Readiness before the decision
PA automation is accelerating. The upstream gap is where denials accumulate before automation can act.
Where do you fit?
Recognize your situation.
Most organizations arrive from one of five places. If one resonates, there's a conversation worth having.
Deadline with no implementation yet
The date is set. The FHIR implementation hasn't started. You need conformance without re-platforming.
Mid-implementation, FHIR/EDI translation is the blocker
Implementation is underway. The bridge to your EDI stack is where progress stalls.
Live, but resilience is now the problem
Compliance is in production. Operational edge cases are surfacing.
Vendor needing to embed compliance capabilities
Clients are asking for FHIR compliance. You want to embed something proven — not build it from scratch.
PA automation in place, but denial rates haven't moved
The automation is live. The denials persist. The problem is upstream — in criteria mapping, documentation gaps, and requests that aren't ready before they're routed.
If the problem sounds familiar, let's talk.
Specs aren't published publicly. The right conversation starts with your environment, your deadline, and what you need to preserve.
- Emailinfo@eg14ysystems.com
- ScheduleA compliance product review — 30 minutes.
- Best fitPayer compliance leads, interoperability architects, PA operations directors, prior authorization managers.