Platform Gateway
How the Ecosystem Works
Secure, permission-based interactions.
Shine patients always control their privacy & permissions. By opting to "link" their accounts with payors or providers, they are granting permission to allow interaction and data share. The flow of data is managed by the PHIP gateway that routes, validates, and protects every interaction. Click any node to explore.
One account. Every connection.
Patients create a free Shine account and link it with their dentist and insurance. One identity, one consent control panel, one portable history - the foundation for everything that flows through PHIP.
- Own and control your personal health data across every provider and insurer
- Track preventive habits between dental visits
- Access exclusive savings on recommended products
- Grant or revoke access with a single tap, any time
- Build a portable health score that follows you everywhere
Every connection flows through PHIP.
No two systems talk directly. PHIP sits in the middle - routing every interaction, checking every consent, recording every meaningful action, and translating the result into a standards-based format the rest of healthcare can read.
- Routes every interaction between patients, providers, and payors
- Checks consent on every request - no data flows without permission
- Records events using healthcare standard codes (CDT, ICD-10, SNOMED, LOINC)
- Exports natively to FHIR R4 for interoperability with any health system
- HIPAA-compliant from day one, with a tamper-proof audit trail
See the whole patient. Get rewarded for prevention.
ProviderPRO+ gives dental teams a clear view of what happens between visits - from the recommendation you sent, to the education the patient engaged with, to the products they purchased. Data-driven prevention you can actually measure.
- Watch patient engagement and follow-through between visits
- Recommend products and earn commissions through the commerce layer
- Track prevention outcomes that demonstrate your practice's value
- Connect with payor networks for reimbursement of preventive work
- Scales across multiple locations and DSO networks
Intelligence between the claims.
Volta gives insurance companies a view they've never had before: the signals between claim events. What members are doing, what providers are recommending, and which behaviors actually lead to better outcomes - all routed through PHIP with full consent.
- Behavioral data that claims alone can never reveal
- Identify highly-engaged members for risk adjustment and retention
- Fund preventive programs with measurable, documented ROI
- Reward healthy behaviors to improve member loyalty
- Transition from fee-for-service to value-based reimbursement
Patient ↔ Provider
- Patient behavioral data and prevention activities
- Product purchase history and engagement
- PHIP score trajectory for clinical context
- Clinical findings and diagnosis
- Personalized product and treatment recommendations
- Treatment plans and follow-up guidance
Patient ↔ Payor
- Behavioral engagement and prevention activity
- PHIP score for behavioral risk adjustment
- Follow-through on recommended products
- Benefits eligibility and coverage details
- Incentive programs and preventive rewards
- Value-based care enrollment status
Provider ↔ Payor
- Documented outcomes and prevention activities
- Clinical encounter data for reimbursement
- PHIP score evidence for value-based payments
- Value-based reimbursement and incentive payments
- Member eligibility and coverage data
- Prevention program funding and parameters
What Is It?
The data layer.
The PHIP Gateway is the connective infrastructure of the Shine ecosystem. It is not an application or a dashboard. It's the invisible data network that routes meaningful interaction between patients, payors, and providers who utilize our tools.
It turns raw interactions into structured, consent-aware, machine-readable events tagged with recognized healthcare standards - ready for analytics, AI, and value-based care from day one.
Routes every call
ProviderPRO+ doesn't call Volta directly. Volta doesn't call Shine directly. Every request flows through PHIP, so nothing bypasses the rules.
Protects every patient
Consent is checked on every request. Revocations propagate instantly. Patients control exactly who sees what, at any time.
Records every event
Every meaningful action - recommendations, education, purchases, reminders - is classified, validated, and stored in an immutable audit chain.
Translates to FHIR
Native PHIP data exports to FHIR R4, the global healthcare interoperability standard. No transformation needed. No vendor lock-in.
Value Proposition
Prove coordination is happening,
not just billed.
Claims data shows what was billed. Electronic health records show what happened in the chair. PHIP captures everything in between. From the moment a dentist sends a recommendation to the moment a patient follows through, PHIP validates, protects, and records it.
Recommendations & education
What was suggested between visits, what the patient actually opened, and what they acted on. None of it visible in claims or EHR.
Compliance behavior
Daily habits, product usage, follow-through on guidance. The 80% of oral health that happens outside the chair - finally observable.
Product & commerce signals
What patients are buying, using, and returning - linked back to the clinical recommendation that triggered the purchase.
Consent-aware from day one
Every event is consent-tagged at ingestion. Historical queries can reconstruct what was authorized at the moment the event was captured.
AI-native, FHIR-ready
Structured with standard codes from the start. Ready for AI agents, FHIR consumers, and future integration with healthcare's broader data network.
Give Providers a Score
Score practices on preventive guidance and "between the claims" patient engagement. Empower providers to demonstrate effort that is already happening.
Identify Top Performers
Give providers and payors the ability to rate their preventive guidance in comparison to others in their geographic region or specialty discipline.
Create Performance-Based Contracts
Enhance provider payout based on guidance and outcomes.
Steer High-Risk Patients
Direct high risk patients to exceptionally performing providers.
Reimbursement Justification
New claims code development and reimbursement packages reinforced by value-based initiatives.
Reduce Network Costs
Improve patient education and compliance adoption. Run correlation analysis between guidance and claims data to improve contract structure.
Recommendations & education
What was suggested between visits, what the patient actually opened, and what they acted on. None of it visible in claims or EHR.
Compliance behavior
Daily habits, product usage, follow-through on guidance. The 80% of oral health that happens outside the chair - finally observable.
Product & commerce signals
What patients are buying, using, and returning - linked back to the clinical recommendation that triggered the purchase.
Consent-aware from day one
Every event is consent-tagged at ingestion. Historical queries can reconstruct what was authorized at the moment the event was captured.
AI-native, FHIR-ready
Structured with standard codes from the start. Ready for AI agents, FHIR consumers, and future integration with healthcare's broader data network.
Give Providers a Score
Score practices on preventive guidance and "between the claims" patient engagement. Empower providers to demonstrate effort that is already happening.
Identify Top Performers
Give providers and payors the ability to rate their preventive guidance in comparison to others in their geographic region or specialty discipline.
Create Performance-Based Contracts
Enhance provider payout based on guidance and outcomes.
Steer High-Risk Patients
Direct high risk patients to exceptionally performing providers.
Reimbursement Justification
New claims code development and reimbursement packages reinforced by value-based initiatives.
Reduce Network Costs
Improve patient education and compliance adoption. Run correlation analysis between guidance and claims data to improve contract structure.
Driving Value-Based Care
The PHIP Score algorithm rates practices and patient guidance adoption based on gateway data. Scores can be weighted and correlated based on internal procedures and comparison with other participating practices.
A completely new scoring algorithm that transforms network management and advances value-based models.