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Navigate Compliance with Health Chain

Our cutting-edge solutions are tailor-made to empower Payers to comply seamlessly with evolving CMS mandates; fostering data exchange, care coordination and improved member outcomes.

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Health Chain Future Proofs Compliance for Payers

Data Exchange API
Complying with Payer-to-Payer Data Exchange Mandate

Aid smoother transition for Members, ensuring continuity of care and reducing administrative burdens by securely exchanging Member data.

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Establish and Maintain Data Observability
Complying with Patient Access Final Rule CMS-9115-F

Gives Members greater control over their health information by providing easy and timely access to their historical clinical and claims data through patient portals.

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Complying with the USCDI v4 and Beyond

Ensure access to complete and up-to-date information to provide Health Plan’s departments with access to as much information on members as is available.

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Prior Authorization
Complying with Prior Authorization (PARRD API)

Significantly reduce administrative tasks for Providers by automating prior authorization processes, ensuring timely Member care.

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Omega Patient Access App

Streamline Exchange of Member Data

Our Payer to Payer Hub provides connections with our expansive network of Payers to facilitate the consensual transfer of Member data when switching Health Plans. It seamlessly integrates with the Payer environment, making the historical data immediately available across the organization.

Patient Transparency

Facilitate the ingestion, integration and curation of data from across various data sources to enable a 360 degree view of the member while supporting the Patient Access API with Centaur Data Platform.

Leverage our member-facing application through which members can view their health record and manage their care journey with Omega Patient Access App.

Access Medical Records
Coverage and Claims

Manage Patient Access API Exposure

Utilize one platform to manage communication, documentation sharing and testing with both 3rd party developers and internal business units. Manage and monitor access to and usage of the APIs with HC Developer Portal.

Closing Care Gaps Efficiently

Reduce the time it takes to approve the care members require by providing a Provider-facing portal with guided prior-authorization submissions and auto approvals with the HC Prior Auth tool.
Access Medical Records

Why Choose Health Chain?

Perspectives by Health Chain

Read insights from Our Compliance Persona

Upcoming Webinars

Mark your calendars for our upcoming webinars – discussing how Payers are implementing digital platforms to better integrate data across business units. Choose an area of focus below:

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