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Quality Solutions

Change Healthcare offers decades of experience meeting Medicaid, Medicare, and commercial plan quality needs. Customizable and integratable offerings facilitate superior quality performance improvement.

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Payment Integrity Solutions

A complete suite of healthcare payment integrity solutions designed to prevent improper payments and fraud, waste and abuse at every stage of the claim lifecycle

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Engagement Solutions

Our health engagement solutions improve health outcomes, risk scores, quality ratings, and member retention while decreasing costs of care to both members and health plans.

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Payment Solutions

Electronic payment options, for consumers and providers including claim settlements, premium payments and consolidated printing that lowers administrative costs and encourages electronic adoption.

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Risk Adjustment Solutions

Data submission, risk model management, risk score trending, risk gap analytics, member and provider targeting, risk adjustment project management, chart retrieval and coding, risk adjustment financials, risk adjustment audits, and provider education.

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Network Solutions

Enhanced automation and edit capabilities drive efficiency and cost savings throughout the claims adjudication process. Comprehensive network connectivity provides unparalleled insights into your business.

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Consulting

We partner with our clients to chart a path forward in the complex maze of today's healthcare environment by focusing on enabling smarter business decisions to help you anticipate and navigate changes.

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Dental Network

Dental Network solutions empower payers to realize significant cost savings through a comprehensive suite of revenue cycle solutions that automate adjudication workflows and drive EDI utilization.

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