Typically we receive customer claims, clinical, administrative, provider directory, and/or formulary data via flat files that are mapped, transformed to FHIR, and loaded to our FHIR server via the Data ETL tooling described below. The frequency with which we update data in our FHIR server depends on the frequency we receive incremental updates (e.g., daily, weekly, monthly, etc.). During implementation we work with customers to meet provisions in the CMS mandate for data being updated in a timely manner (claims one business day after they are processed, encounters one business day after being received, clinical data one business data after being received, provider directory updates 30 days after being received).