Heyrafiki gives Insurers, health Organizations and public health systems a governed contract across Practitioner networks, Care delivery, Benefits and Payments.
Integration boundaries
External authorities keep ownership of their decisions. A regulator owns professional status. A payer owns Benefit and adjudication decisions. Heyrafiki records the authorized exchange, normalized state and evidence needed to operate the workflow.
Available contract
The sandbox provides:
- Practitioner discovery and recurring availability;
- tenant-scoped Bookings and Sessions;
- Benefit eligibility and pre-authorization;
- project-scoped Claim submission, review and adjudication;
- remittance allocation and reconciliation;
- signed Webhook endpoint management;
- read-only MCP tools over the same resources.
Use separate projects and keys for each environment. Sandbox data is synthetic.
Insurers and payers
Check eligibility before committing Cover. Where authorization is required, bind the eligibility decision to a covered Booking. Submit Claims from delivered Care, record line decisions, then allocate remittance against the approved amount.
Clinical Notes, message content and unrelated identity data are outside the payer contract.
Health Organizations
Use Practitioner, availability, Booking and Session resources to coordinate Care. Organization access remains purpose-bound and does not expose an individual’s Diagnosis or private Care activity.
Regulators and public systems
National and regulator integrations follow the authority’s active identity, Consent, terminology and exchange profiles. Heyrafiki does not replace the source authority or turn a sandbox connection into an endorsement.
Research
Research access is protocol-bound and separate from product analytics. Approved work uses the minimum permitted data, de-identification or aggregation, controlled exports and reproducible dataset lineage.
See Security, Data boundaries, Authentication and Webhooks. Last modified on July 30, 2026
