A medical claims management solution for providers who want to improve claim accuracy, streamline submissions, and optimize denials-and-appeals management.
Advancedmedical claims processing software
Improve claim accuracy
Help reduce denials and accelerate reimbursement by connecting to an expansive network of payers for up-to-date eligibility and benefits information.
Gain visibility into claim status
Address problem claims quickly by receiving notifications of denials and via visibility into claim status, from receipt to adjudication.
Expedite provider enrollment with payers
Enhance productivity and speed implementation for new providers by using automated payer enrollment.
Optimize your claims workflow
- Confirm eligibility and benefit coverage directly with the payer in real time
- Streamline claim submission with errors reporting and editing capabilities
- Manage payer enrollment to improve productivity and speed implementation for new providers
- Set notifications to stay up to date with payer information and with any changes that might cause claim-processing delays
Help improve collections and enhance patient satisfaction
- Provide out-of-pocket cost estimates to each patient
- Enable more initial patient discussions and follow-up
- Help facilitate collections earlier in the process
Improve financial performance
- Expedite denial resolution for overall cost savings
- Audit and review current and historical claims for analysis and insights
- Understand denial root causes, so you can correct and prevent future denials
- Prevent claims from falling through the cracks with visibility into claim status
- Get an end-to-end view of claims for a rolling 13-month period
Join Community discussions
Find and share knowledge, exchange ideas, and collaborate with peers and Change Healthcare experts to drive your solutions to success.
- Medical Claim Attachments Discover an electronic medical claim solution for providers, payers, and partners who want to eliminate manual processes to improve the revenue cycle. Learn more
- Payer Data Exchange A payer data exchange solution for third parties that need payer data for their systems and workflows. Learn more
- Payer Connectivity Services A claims administration, routing, and first-pass adjudication system for payers that want to consolidate and manage their inbound and outbound transaction streams at a single connection point. Learn more
- Advanced Claim Management An advanced claiming solution for payers that want to improve claim auto-adjudication rates and identify the most efficient path to process claims for a higher first-pass rate and lower costs. Learn more