JSON twin: https://www.healthaidb.com/software/change-healthcare.json
Change Healthcare
https://business.optum.com/en/changehealthcare.html
https://www.changehealthcare.com
Change Healthcare (an Optum/Optum Business offering) provides nationwide healthcare network connectivity, claims clearinghouse, revenue cycle management and APIs to streamline eligibility, claims, payments and interoperability for providers, payers and pharmacies.
A commercial healthcare technology platform offering EDI network/claims clearinghouse, payer connectivity, eligibility and claims APIs, revenue cycle management services, attachments and payment solutions. Designed to accelerate claim submission and adjudication, improve eligibility accuracy, enable integrations via productized APIs, and support payer/provider interoperability at scale.
yes
2007
Primarily US-based hosting with global/enterprise deployment options (cloud regions and hybrid deployments available)
P0332
2025-09-07
commercial proprietary
Contact vendor / sales for pricing; enterprise pricing and implementation quotes (no public list prices).
enterprise_quote
product
1.0
{
"company_name": "Change Healthcare",
"company_url": "https://www.changehealthcare.com",
"company_offices": [
"United States",
"India",
"Ireland",
"United Kingdom",
"Brazil",
"Canada",
"Singapore"
],
"company_founding": "2007",
"product_url": "https://business.optum.com/en/changehealthcare.html",
"categories": [
"administrative",
"financial",
"revenue cycle management",
"payments",
"network connectivity",
"analytics",
"enterprise imaging",
"clinical decision support"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.changehealthcare.com",
"https://business.optum.com/en/changehealthcare.html",
"https://www.unitedhealthgroup.com/newsroom/2022/2022-10-3-optum-change-healthcare-combination.html",
"https://www.hhs.gov/hipaa/for-professionals/special-topics/change-healthcare-cybersecurity-incident-frequently-asked-questions/index.html",
"https://www.cms.gov/newsroom/fact-sheets/change-healthcare/optum-payment-disruption-chopd-accelerated-payments-part-providers-and-advance",
"https://en.wikipedia.org/wiki/Change_Healthcare",
"https://www.linkedin.com/company/change-healthcare",
"https://business.optum.com/en/support.html",
"https://www.sec.gov/Archives/edgar/data/1444598/000119312516503653/d152055d10k.htm"
],
"summary": "Change Healthcare (an Optum/Optum Business offering) provides nationwide healthcare network connectivity, claims clearinghouse, revenue cycle management and APIs to streamline eligibility, claims, payments and interoperability for providers, payers and pharmacies.",
"description": "A commercial healthcare technology platform offering EDI network/claims clearinghouse, payer connectivity, eligibility and claims APIs, revenue cycle management services, attachments and payment solutions. Designed to accelerate claim submission and adjudication, improve eligibility accuracy, enable integrations via productized APIs, and support payer/provider interoperability at scale.",
"target_users": [
"healthcare providers",
"hospitals and health systems",
"physician practices",
"billing services / medical billers",
"revenue cycle managers",
"payers / health plans",
"third-party administrators (TPAs)",
"pharmacies and PBMs",
"labs and imaging centers",
"IT/healthcare integrators"
],
"specialties": [
"revenue cycle management",
"medical billing and claims",
"payer connectivity",
"pharmacy",
"laboratory",
"imaging",
"patient eligibility and enrollment",
"interoperability / APIs"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor / sales for pricing; enterprise pricing and implementation quotes (no public list prices).",
"license": "commercial proprietary",
"deployment_model": [
"SaaS",
"cloud",
"on_prem (select solutions)",
"hybrid"
],
"os_platforms": [
"Web",
"Windows",
"macOS",
"Linux",
"iOS",
"Android"
],
"features": [
"Claims processing and clearinghouse",
"Eligibility and benefits verification",
"Claim status and remittance (ERA/EFT)",
"Revenue cycle management and biller workflows",
"Prior authorization management",
"Payment and payment reconciliation",
"Medical network and provider connectivity",
"Provider enrollment and payer enrollment services",
"Clinical-administrative data exchange",
"Analytics and performance reporting",
"Formulary and pharmacy-related services",
"Integration adapters / connectivity services",
"Enrollment and payer sheets / payer lists",
"Support portals and developer sandbox access"
],
"optional_modules": [
"Advanced analytics / performance modules",
"Payment integrity / claim scrubbers",
"Enterprise imaging integrations",
"Pharmacy prior authorization (ePA)",
"Revenue cycle optimization services"
],
"integrations": [
"Epic",
"Cerner / Oracle Cerner",
"Allscripts",
"Meditech",
"Payer networks (major commercial and government payers)",
"Pharmacy benefit managers / pharmacy systems",
"PACS / enterprise imaging systems",
"Billing systems / practice management",
"Clearinghouses",
"Provider portals"
],
"data_standards": [
"HL7 v2",
"FHIR (where supported)",
"X12 / ASC X12 (claims/eligibility e.g., 270/271, 837, 835)",
"NCPDP (pharmacy)",
"DICOM (imaging)"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA / HITECH",
"SOC 2 (commonly reported for cloud services)",
"Industry-standard privacy and security controls"
],
"certifications": [],
"security_features": [
"Encryption in transit and at rest",
"Role-based access control (RBAC)",
"Single sign-on / SAML support",
"Audit logging and access monitoring",
"Secure developer sandbox and token-based API auth"
],
"privacy_features": [
"Business Associate Agreement (BAA) support",
"Access controls and audit trails",
"Data minimization and controlled data sharing"
],
"data_residency": "Primarily US-based hosting with global/enterprise deployment options (cloud regions and hybrid deployments available)",
"customers": [
"Optum (parent)",
"UnitedHealth Group (owner)",
"Allina Health",
"Nebraska hospitals (multiple)",
"Numerous U.S. hospitals and provider groups"
],
"user_reviews": [
"Claims processing and remittance viewing improved overall — faster and more efficient.",
"After the cyberattack many providers couldn't submit claims and workflows were disrupted for days.",
"Support and APIs are helpful when they work, but outages have caused serious patient- and revenue-impacting delays.",
"The platform can be slow and the implementation/onboarding process moved slowly for our organization.",
"Experienced long outages during the ransomware incident — trust and reliability concerns remain."
],
"ratings": [
"G2: ~3.8/5 (Change Healthcare product listings)",
"Glassdoor (employees): 3.3/5",
"Trustpilot: 2.5/5",
"KLAS: vendor-rated in health IT (varied by product)"
],
"support_channels": [
"product support portals",
"customer portals / sign-in portals",
"contact sales",
"community forums"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"certification"
],
"release_year": "",
"integration_partners": [
"Optum",
"UnitedHealth Group",
"Epic",
"Cerner",
"Allscripts",
"Surescripts",
"Major US payer networks and EHR vendors"
],
"id": "P0332",
"slug": "change-healthcare",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/change-healthcare.json"
}
}