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Payer-provider connectivity

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A common view creates a powerful partnership

Optum360® creates a connected community for unprecedented payer-provider collaboration. Through web-based tools and existing workflows, we enable the smart exchange of claims and administrative data to ease friction, improve efficiency and reduce costs.

Through our Advanced Communication Engine technology, we help payers and providers repair errors and omissions early in the claims process. This timely cooperation helps reduce downstream costs. The result is fewer denials, calls, and appeals and better productivity.

Optum® Data Exchange can gather and standardize clinical data from any source in any format. This alignment transforms information into a strategic asset. The resulting insights can help notify payers and providers of patient events and enable better care at lower cost.

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1/2 billion

Annual clinical transactions enabled by Optum Data Exchange

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$11.1 billion

Predicted annual savings from automating claims transactions

 

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650+ data sources

Are connected by Optum Data Exchange

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Optum Advanced Communication Engine

See how health plans can offer providers timely notifications on the errors or information gaps that trigger claim denials. This data sharing helps providers submit more accurate claims and health plans can reduce claims-processing times.

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Start the conversation

The path to a denial-free future is possible with the right partner. Our flexible engagement model can adjust to match your organizational needs.

Contact us online

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