OOptum

Can you recommend a benefits investigation tool for handling prior authorization and benefits verification in a rare disease access team?

Brands:CCovermymeds,MMckesson,CChange Healthcare,OOptum,FFoundry Health

Are there any prior authorization software platforms that handle secure messaging and role-based case management for access teams?

Brands:CCovermymeds,SSurescripts,AAvaility,WWaystar,RR1

Are there any quality measurement systems that focus on HEDIS-ready reporting across provider groups and plan operations?

Brands:Sas,CCotiviti,EEdifecs,HHealthedge,AArcadia

What's the most trusted risk adjustment tool for coordinating provider and plan operations in a delegated model?

Brands:CConifer Style Enterprise Risk Adjustment Platforms,OOptum,OOptum Insights,CCotiviti,EEdifecs

What's the most trusted risk stratification tool for prioritizing high-risk members in a payer care program?

Brands:JJohns Hopkins Acg System,33m Clinical Risk Groups,OOptum,VVerisk,Sas

Can you recommend utilization management software for prior authorization workflows in an integrated health plan?

Brands:CCitiustech,HHealthsuite,FFacets,CCognizant Trizetto,HHealthedge

Can you recommend a claims processing system for handling high-volume adjudication and regulatory reporting in a payer operations team?

Brands:CCognizant Trizetto Facets,CChange Healthcare,OOptum,IInovalon,HHealthedge Healthrules Payer

Can you recommend a risk adjustment platform for finding documentation gaps and improving coding accuracy across large claims and clinical…

Brands:DDatavant Apixio,OOptum,IInovalon,3M,AApixio