The Redox for Payers interoperability platform can help you take the lead in changing healthcare through real-time data exchange with virtually any provider electronic health record (EHR), digital health vendor, and much more. Redox helps you move past legacy protocols into a world of complete member visibility even as business objectives, technology, and legislation change.
There is a growing number of outstanding prior authorization and utilization management solutions on the market today. Redox can connect any of them, or your home-grown solution, enabling a truly end-to-end prior authorization process. The promise of reduced administrative burden for you and your provider partners, and improved experiences for your members is closer than you think.
Drive clinical and cost outcomes and build trust for greater value based care adoption by enabling bi-directional data exchange with contracted providers. Redox helps you collect the clinical and social determinants data you need to identify care gaps in real-time and facilitates the communication of your recommendations to care teams directly within their EHR workflows.
Modernize risk adjustment, improve NCQA HEDIS and CMS Star quality ratings, and streamline reimbursement audits with Redox’s secure electronic medical record retrieval from provider partners. Redox helps you get the data you need now, in real-time, at a fraction of the cost of manual retrieval.
Cloud-native analytics can unlock the power to fix healthcare, but you’ve got to get the data in there first. The process of mapping, normalizing, and converting data from EHRs and payer systems of record into formats ingestible by cloud vendors can be complex and lengthy. Some consulting agencies may charge millions to get the job done, but with in-depth expertise, Redox for Cloud shortens this process from months to just weeks, for a fraction of the price.
If you can imagine it, we’d love to help you achieve it!
Managing the ingestion, normalization and filtering of clinical and administrative data across multiple protocols (HL7v2, XML, API, C-CDA, X12, FHIR etc.) is daunting for even the most technically advanced organizations. Redox for Payers manages this complexity so you can re-direct your focus to composing differentiated experiences for your members and contracted providers. We connect you to any ONC-approved standard for both incoming and outgoing messages, and allow you to interact with them through a single Redox API.
HL7® FHIR® offers tremendous promise in pushing healthcare toward a single, interoperable standard. While we know the transition to FHIR will take the industry several years, the Redox FHIR API will help you get started with FHIR to future proof your workflows.
Provider Orgs Connected to Redox
Healthcare Products in the Redox Network
Compatible EHR Systems
Payers that embrace radical interoperability to move their big data and digital transformation strategies forward will be positioned…
Once you connect with Redox you can be confident that you have an expert integration partner who is committed to accelerating your integrations, reducing overhead, and navigating complexity. We have an A rating from KLAS Research and will support you through each step of the connection process.