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Solutions for Third-Party Administrators
TPA solutions that help address strategic priorities such as streamlining operations and reducing costs.
Optimize.Full-scale solutions to help your business save.
TPA solutions that help drive cost control and revenue enhancement
- Manage medical costs and increase collaboration for better outcomes
- Use evidence-based decision support to identify appropriate care
- Solve operational and technical IT challenges to optimize your business performance
- Ease medical-records retrieval and clinical review to help improve risk adjustment and quality scores
Simplify.Reduce costs with more efficient billing, collections, and payment processes.
Streamlined payment efficiency for improved accuracy and revenue performance
- Help process claims faster to make operations more efficient
- Help improve payment integrity and transparency
- Tap experienced consultants to solve clinical and technical challenges
Transform.Financial and clinical outcomes and consumer experiences.
Innovative and automated TPA solutions to make healthcare work better for everyone
- Information sharing for better care coordination, risk analysis, and network management
- Automate provider contracts to help reduce costs and improve efficiency
- Engage members and measure quality to support satisfactory care
- Speed your transition to value to help improve patient outcomes
- Analyze and automate value-based models to scale complex payment processes
What Customers Are Saying
What Customers Are Saying
[Because of the transparency we have through the portal], I don’t see us as two separate companies; I just see it as we have a department or division that handles all our correspondence, and Change Healthcare makes it happen. We were able to cut our costs from what we had been paying two vendors due to Change Healthcare’s capabilities and pricing.
Our outcomes
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- Communication Payments See how our healthcare payment systems empower your consumer engagement efforts by facilitating member payments and enabling member communications. Learn more
- Provider Payments With connectivity to over 600,000 providers, we offer flexible & efficient provider payment solutions for reimbursement. Lets streamline your provider payments. Learn more
- Payment Accuracy Discover our payment accuracy product suite for payers that want to improve claims adjudication and streamline payment operations across all payment modalities. Learn more
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