| Role: Integration Developer | Platform: MuleSoft |
| Industry: Healthcare | Duration: ~6 Months |
Overview
Built MuleSoft integrations connecting an Electronic Health Record system to a claims processing platform, automating the transmission of clinical data required for billing and prior authorization.
What I Built
- Real-time HL7 v2 clinical message ingestion from the EHR via secure MLLP protocol
- Complex DataWeave transformations converting HL7 segment trees into FHIR R4 JSON payloads
- Automated prior authorization submission pipeline triggered on specific diagnostic and clinical events
- Claims adjudication polling and status writeback directly into the provider EHR encounter records
- Robust HL7 acknowledgment (ACK/NACK) generation and automated exception reporting pipelines
Architecture
Leveraged MuleSoft’s Healthcare Accelerator framework extended with custom DataWeave maps to support provider-specific clinical schemas. This enabled seamless bi-directional data flow while enforcing strict HIPAA compliance, message validation, and auditability across all transactions.
Tech Stack
Outcome: Reduced prior authorization turnaround time by 40%. Claims submission errors dropped significantly due to structured validation.