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Payment Solutions for Healthcare Payers

Our platform moves money and data securely as one, lowering transactional costs and driving efficiency for payers and providers.

A new standard for payment delivery

We know finance, healthcare and the complex system that connects them. It’s why we created a smarter payment delivery solution designed for the business side of care. Our claim payment solutions enable you to:

  • Modernize payment processes  Drive electronic adoption by making it easy for providers to select their preferred payment method.
  • Lower costs — Eliminate check printing and mailing costs, and reduce treasury and administrative expenses.
  • Simplify reconciliation with transparent transactions — Our portal and comprehensive dashboard offer visibility into all payment types and transactions

Key benefits

Moving money is key to making healthcare work. Our platform eases the burden of financial reconciliation and boosts provider satisfaction.

One of the largest provider payments networks

We process $500 billion annually in payments for 2.2 million providers and over 500 payers.*

High electronic adoption rate

Our vast network also drives an electronic adoption rate of more than 95% for medical providers.*

Increased security and fraud prevention

The latest in fraud prevention and 24/7 monitoring keeps information safe and reduces fraud.

Flexible claim payment options and services

Pay by ACH, virtual card or check, and build loyalty with funding options and a support center dedicated to providers’ needs.

100% of our clients lower operating costs

Our payment solutions are designed to maximize ROI. You’ll drive higher electronic adoption while lowering printing, mailing and banking costs.

Industry insights

Article

Upstream partnerships that maximize payment integrity strategies

Find out how aligning payment integrity with other complementary functions at health plans reduces unnecessary spend and provider abrasion.

Article

Advancing payment integrity with real-time solutions

John Hoffman, VP of Product at Optum, discusses how the future of payment integrity is built on preventing errors before payments are made.

Article

Q&A: Designing a connected member journey for risk adjustment programs

Zeel Sheth explains how connected data, analytics and coordinated execution help organizations activate earlier and support better risk adjustment outcomes.

Getting started with our healthcare payment solutions is easy

Complementary solutions

Solution suite

Payment delivery solutions

Best for:
  • Health systems and hospitals
  • Payers

Transform the claim payment process for payers and payees with our payment solution.

Solution suite

Financial solutions

Best for:
  • Employers
  • Health systems and hospitals
  • Payers
  • Providers

Explore our tailored healthcare solutions to help you strengthen financial health, reduce complexity and achieve operational excellence.

*Optum Financial book of business, 2023