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Optum (Change Healthcare)

Health solutions, simplified.

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Overview

Change Healthcare, now part of Optum (a UnitedHealth Group company), provides a vast array of services for revenue and payment cycle management. It operates one of the largest financial and administrative information exchanges in the U.S., offering solutions that streamline claims processing, payment accuracy, and other financial workflows for healthcare providers.

✨ Key Features

  • Revenue Cycle Management
  • Claims Management and Processing
  • Payment Accuracy
  • Eligibility and Enrollment
  • Healthcare Data and Analytics

🎯 Key Differentiators

  • Unmatched scale and connectivity across the U.S. healthcare system
  • End-to-end portfolio of revenue cycle solutions
  • Integration with Optum's broader data, analytics, and services

Unique Value: Simplifies the complexities of the healthcare revenue cycle by providing a single point of connection between providers, payers, and patients for administrative and financial transactions.

🎯 Use Cases (4)

Submitting and tracking insurance claims Verifying patient eligibility Managing claim denials Processing patient payments

🏆 Alternatives

Waystar Availity Experian Health

Offers a more comprehensive and widely connected network for claims and payment processing than any other single vendor.

💻 Platforms

Web API

🔌 Integrations

Most EHR and practice management systems

🛟 Support Options

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

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO

💰 Pricing

Contact for pricing
Visit Optum (Change Healthcare) Website →