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Change Healthcare

Inspiring a better healthcare system.

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Overview

Change Healthcare, now part of Optum, operates a large financial and administrative information exchange in the U.S. They provide a wide range of solutions for revenue cycle management, payment accuracy, and patient engagement, connecting payers, providers, and patients.

✨ Key Features

  • Eligibility & Benefits Verification
  • Medical Claims Management
  • Payment Accuracy Solutions
  • Patient Engagement Tools
  • Pharmacy Solutions

🎯 Key Differentiators

  • Vast healthcare network connecting payers, providers, and pharmacies
  • Breadth of solutions across financial, clinical, and patient engagement domains
  • Rich data assets from its network transactions

Unique Value: Provides intelligent connectivity and data-driven insights at a massive scale, powered by its central position in the healthcare ecosystem.

🎯 Use Cases (3)

Verifying patient benefits across a wide range of payers Processing and tracking medical claims Managing clinical and financial data exchange

✅ Best For

  • High-volume claims processing
  • Nationwide eligibility verification

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Organizations seeking a simple, standalone verification tool

🏆 Alternatives

Optum Inovalon Waystar

Offers more comprehensive network connectivity and transactional data than pure-play analytics vendors.

💻 Platforms

Web API

🔌 Integrations

Most major EHR/PMS systems API

🛟 Support Options

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

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO ✓ SOC 2 ✓ HITRUST ✓ EHNAC

💰 Pricing

Contact for pricing
Visit Change Healthcare Website →