Transform system performance with network connectivity
Interoperability in healthcare is essential for efficient care delivery and performance. A health system’s network connectivity must be capable of handling fast, accurate data exchanges and secure private information.
It needs to work seamlessly across various systems and standards while managing a high volume of transactions.
Simplifying these processes can remove complexities and streamline information flow. Reimbursement is accelerated while costs are lowered. When selecting a network partner, health systems should prioritize security, scalability and reliability.
Optum network connectivity
Expand your connectivity and streamline EDI transactions, including eligibility verification and claims processing, through our vast nationwide network.
We serve medical and dental health care providers, health plans and pharmacies. Our clearinghouse provides advanced interoperability, enhanced security and scalability to help drive accuracy, improve efficiency and reduce costs.
Automation helps streamline processes such as eligibility and benefit verification, claim status checks and proactive claim validation. New product features are rapidly implemented while our expanded network capacity offers scalability for any level of volume.
Our infrastructure, servers and data centers are built to the highest standards, using the latest technology in partnership with industry-leading security vendors. Firewalls configured for maximum strength and multi-factor authentication for all systems meet best-in-class security measures.
Delivering on interoperability
- Speed: With investments in modernization, Optum offers instantaneous eligibility checks (within milliseconds) and rapid response times while optimizing for fewer timeouts and error rates.
- Quality: We are uniquely positioned to ensure quality of data through robust operational processes and real-time edits. Our ancillary services allow us to identify critical information at the most granular level to meet the needs of our customers.
- Reliability: Continuous improvements and investments in modern infrastructure result in consistent and performant system uptimes and availability.
Medical, pharmacy and clinical networks
Medical Network Solutions
EDI Network
Dental Revenue Cycle Management
Pharmacy Network Solutions
Clinical Exchange Solutions
Hosted Payer Services
Payer Connectivity Services
Clinical Exchange Orders and Results
Clinical Exchange ePrescribe
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