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Network connectivity

Medical Network Solutions

Leverage our vast nationwide connectivity to streamline eligibility verification and claims processing to help drive accuracy, improve efficiency and reduce costs. 

Help ensure eligibility and benefits information is accurate

Drive claim accuracy with a network that includes more than 2,400 payer connections.

Our broad connectivity facilitates the exchange of up-to-date information to drive time and cost efficiencies and help support accurate, accelerated reimbursement.

We offer multiple options to improve the submission, processing and tracking of claims and attachments.

Our productized APIs are easy to implement and scale, giving you fast access to functionality spanning patient and member engagement, eligibility and claims processing, and data and interoperability management.  

Explore our solutions

EDI Network

Enable faster, more accurate claim processes with digital transactions, customizable edits and cloud-based solutions linking care delivery.

Payer Connectivity Services

Our claims system for payers and TPAs consolidates transaction streams at a single point to manage administration, routing and adjudication.

Optum Marketplace

Visit our marketplace to learn about our scalable, flexible  APIs. From eligibility checks and claim submissions to real-time status updates, our APIs provide a robust, secure and compliant framework that integrates into your existing systems.

Hosted Payer Services

Integrated technology helps lower costs of maintaining high-availability systems needed to support dental and medical providers and members.

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Clinical Exchange Orders and Results tool

Streamline the implementation process of healthcare lab operations and enhance enrollment control with our self-service tool.

Find out how our Medical Network Solutions can benefit your organization