Skip to main content

Software

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.

Get in touch with our sales team today

Fill out this form and we’ll get back to you shortly.

Need help or account access? View our support resources or sign in.

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

Trusted Specialty Pharmacy Support [Video]

Video

Trusted specialty pharmacy support

Optum Specialty Pharmacy simplifies prior authorizations, offers patient support and helps you save time with digital tools.

Meet Ben: A Home & Community Member Journey [Infographic]

Infographic

Coordinated care, every step of the way

Follow Ben's story from the day of his surgery to his recovery at home and see how Optum Home & Community is helping improve the lives of patients.

The $20 Billion Opportunity in Healthcare Automation 

White paper

The $20 billion opportunity in healthcare automation  

Discover how the final shift to electronic transactions can save billions and transform healthcare operations.

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

Get in touch with our sales team today

Fill out this form and we’ll get back to you shortly.

Need help or account access? View our support resources or sign in.

Complementary solutions

Software

EDI Network

Best for:
  • Providers

Leverage our vast nationwide payer network to enable swift and secure sharing of information between providers, payers and patients.

Software

Smart EDI

Best for:
  • Health systems and hospitals

Our advanced transaction management and routing services help you manage complex EDI workflows and reduce costly denials.