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Hosted Payer Services

Reduce payer administrative costs and remove technical barriers by providing real-time eligibility and claim status services on behalf of payer customers.

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

Viewpoints on the 2027 CMS Advance Notice

Report

Viewpoints on the 2027 CMS Advance Notice

6 key proposed changes for 2027

Modernize Prior Authorization With Intelligent Automation

Infographic

Modernize prior authorization with intelligent automation

Intelligent automation quickens determinations, improves submissions and gives real-time status visibility, helping reduce burden, delays and denials.

Scaling AI Without Sacrificing Safety, Quality or Trust

White paper

Scaling AI without sacrificing safety, quality or trust

Gain access to a discussion where health leaders across the U.S. share how AI can help transform care delivery and financial sustainability.

Current customer resources

Product support

Our experts will answer your questions and direct you to the information and resources you need.


Get support

Let’s start a conversation

We’re here to help you find out how our services could benefit your organization. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits and services
  • Show how this solution can help achieve your goals

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