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Change Healthcare (Optum)

Inspiring a better-connected healthcare system.

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Overview

Change Healthcare, now part of Optum (a subsidiary of UnitedHealth Group), is a major provider of revenue and payment cycle management services in the U.S. healthcare system. In addition to its financial services, Change Healthcare offers a range of connectivity solutions that facilitate the exchange of clinical and administrative data between providers, payers, and patients. The company was the target of a major cyberattack in 2024, which has had a significant impact on its operations and the broader healthcare industry.

✨ Key Features

  • Revenue cycle management
  • Payment accuracy solutions
  • Clinical data exchange
  • Pharmacy solutions
  • Patient engagement tools

🎯 Key Differentiators

  • Vast network connecting providers, payers, and pharmacies
  • Comprehensive suite of revenue cycle and payment management solutions
  • Integration with Optum's broader healthcare services

Unique Value: Provides a comprehensive and highly connected platform for managing the financial and administrative aspects of healthcare, with growing capabilities in clinical data exchange.

🎯 Use Cases (3)

Claims processing and payment management Clinical data exchange for care coordination Pharmacy benefit management

✅ Best For

  • Nationwide claims and payment processing
  • Clinical data exchange for payers and providers

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Organizations seeking a standalone, provider-centric HIE platform

🏆 Alternatives

Waystar Availity Experian Health

Offers a much broader range of financial and payment management services compared to traditional HIEs.

💻 Platforms

Web API

🔌 Integrations

Numerous EHR and practice management systems Payer systems Pharmacies

🛟 Support Options

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

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ GDPR ✓ SSO ✓ SOC 2

💰 Pricing

Contact for pricing
Visit Change Healthcare (Optum) Website →