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Change Healthcare (Optum)

Connecting a smarter health system.

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Overview

Change Healthcare, now part of Optum, is a massive force in healthcare technology, providing data, analytics, and connectivity solutions. Their provider enrollment and credentialing services are a component of their comprehensive Revenue Cycle Management offerings, designed to help large providers and health systems manage their financial operations and ensure compliance.

✨ Key Features

  • Credentialing and Payer Enrollment Services
  • Claims Management and Clearinghouse Services
  • Payment Accuracy and Analytics
  • Patient Access and Engagement Solutions
  • Clinical Decision Support

🎯 Key Differentiators

  • Unmatched scale of its intelligent healthcare network
  • Deep integration with the Optum and UnitedHealth Group ecosystem
  • Extensive data and analytics capabilities

Unique Value: Leverages its vast network and data assets to provide intelligent, automated solutions that streamline the revenue cycle for all healthcare stakeholders.

🎯 Use Cases (3)

Outsourced RCM and enrollment for hospitals and large health systems Managing complex payer contracts and enrollment requirements Leveraging data analytics to optimize the revenue cycle

✅ Best For

  • Processes billions of healthcare transactions annually, connecting a vast network of providers and payers.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Small practices looking for a simple, low-cost software tool.

🏆 Alternatives

Waystar Availity Experian Health

Offers a level of network connectivity and data-driven insight that is difficult for smaller, independent RCM technology vendors to match.

💻 Platforms

Web API

🔌 Integrations

Extensive integrations with most major EHR/PM systems, payers, and providers

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO ✓ HITRUST CSF Certified ✓ SOC 2 Type II ✓ ISO 27001

💰 Pricing

Contact for pricing
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