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🔧 Change Healthcare Denial Management (Optum)

Change Healthcare Denial Management (Optum)

Connecting and optimizing the healthcare system.

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Overview

Change Healthcare, now part of Optum, provides a comprehensive suite of revenue cycle management solutions. Their denial management services are integrated into their broader financial and analytics platforms. By leveraging their vast network, they provide data-driven insights to help providers identify denial trends, manage appeals, and implement preventative measures. The company's offerings aim to reduce administrative costs and improve payment accuracy through automation and analytics.

✨ Key Features

  • Automated claims processing
  • Denial trend analysis
  • Payment integrity and accuracy tools
  • Real-time eligibility verification
  • Access to the Intelligent Healthcare Network
  • AI and machine learning capabilities

🎯 Use Cases (3)

Large hospitals and health systems requiring enterprise-level RCM. Payers and providers needing a connected network for transactions. Organizations focused on data and analytics to drive financial performance.

✅ Best For

  • Streamlining claims submission and management across a large network.
  • Utilizing network data to identify and prevent common denial reasons.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Small independent practices that may not need enterprise-level features.

💻 Platforms

Web API

🔌 Integrations

Major EHR/EMR systems Practice Management Systems API-based integrations

🛟 Support Options

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

🔒 Compliance & Security

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

💰 Pricing

Contact for pricing
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