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The healthcare industry is experiencing an unprecedented period of change driven by growth in patient financial responsibility, the shift to value based healthcare, the digitization of health information and an increasingly complex regulatory environment.  To capitalize on the opportunities created by these and other marketplace changes, healthcare providers need new and strengthened capabilities that simplify the complex process to get paid, streamline eligibility verification, optimize claims and denials processes, identify underpayments, explore coverage opportunities, and automate billing systems and manage payments across the revenue cycle.

Solutions Overview

Change Healthcare Provider Solutions consist of all the processes and efforts that providers undertake to ensure they are properly compensated by payers and patients for the medical services rendered to patients.  These processes begin with the collection of relevant eligibility, financial and demographic information about the patient and co-pay amounts before care is provided and end with the collection of payment from payers and patients.  Built on top of the Intelligent Healthcare Network™, the single largest financial and administrative healthcare network in the United States, reaching approximately 750,000 physicians, 105,000 dentists, 60,000 pharmacies, 5,000 hospitals, 600 vendors, 450 laboratories and 1,200 government and commercial payers, Change Healthcare’s provider solutions bring actionable data, analytics and insights across the healthcare ecosystem.