Redox for payers

Payer interoperability now with EHRs and healthcare technology

Take the lead in changing healthcare through real-time data exchange with virtually any provider electronic health record (EHR), or digital health vendor.

Your member-facing teams can differentiate

Enhance your service with new technology and data integration that sets your member experience apart, motivating member engagement with their health care.

Read how Redox handles integration, so you have a solution for fixing Prior Authorization.

Your IT team can innovate

Your team can focus on reducing the burden of administrative processes while maintaining member health data privacy and security.

View connected healthcare products.

Redox payers customers
health system IT security

SOC II and HIPAA compliant

health system IT security

One API to write to, one set of auth credentials

health system IT security

Redox supports your connections from design through maintenance

Compose your innovation

Prior authorization

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.

Gaps in care

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.

Medical record retrieval

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.

Connect to the Cloud

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.

Download from payer to leader

Lead change rather than be disrupted by it. Rise above your competitors by curating and harnessing data to unlock full views into member care journeys.

Download the whitepaper.

Create composable experiences for your members


Learn more about using Redox as the solution to your business.