Modernize medical networks
Industry-leading security, stability and responsiveness
Hosted Payer Services (HPS) is built on the latest Amazon Web Services (AWS) technology and is integrated with the vast Optum clearinghouse.
Market-leading availability and response times can help lower support and development costs while increasing provider satisfaction.
Clients using our Hosted Payer Services have experienced sub-second real time responses and 99.9% availability.
HPS removes technical barriers and the costs of providing real-time EDI responses
Real-time processing
Hosted eligibility and claims status processing
- Helps reduce administration costs for payers and third-party administrators
- Can remove technical barriers
- Increased provider satisfaction
Enhanced Support
Increased value for payers and third-party administrators
- Infrastructure cost removal
- Help lower support and development costs
- Market-leading availability
- Market-leading response times
Key benefits
Hosted eligibility and claim status
HPS can help reduce administrative costs by receiving and responding to standard medical transactions on your behalf.
Easy data integration
Payers need only a basic ETL that provides member demographics, plan, accumulator and third-party information.
Industry insights
White paper
New research examines how structured, nurse‑led case management influences cost, utilization and outcomes for members undergoing complex organ transplants.
Article
Smart clinical strategy: meet patient needs with expanding sites of care
Article
Optum helps providers keep patients on therapy during travel, relocation or disruption through coordinated, nationwide infusion and specialty pharmacy support.
Complementary solutions
Software
EDI Network
Leverage our vast nationwide payer network to enable swift and secure sharing of information between providers, payers and patients.
Software
SmartEDI
Our advanced transaction management and routing services help you manage complex EDI workflows and reduce costly denials.