Redox for payers

Interoperability now with EHRs, cloud, and healthcare technology

Payers can lead healthcare’s transformation through real-time data exchange with virtually any provider electronic health record (EHR), health information exchange (HIE), payer platform, or digital health vendor.

Your member-facing teams can differentiate

Enhance your member experiences with new technology and data integration that motivates member engagement with their health care.

Read how Redox accelerates cloud innovation

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

Integrate using a modern API and consistent data format

health system IT security

SOC II and HIPAA compliant

One API to write to, one set of auth credentials

Redox supports your connections from design through maintenance

Redox supports your connections from design through maintenance

Use cases for payers

Connect to the Cloud

Map, normalize, and convert data from EHRs and payer systems of record into formats ingestible by AWS, Google Cloud or Microsoft Azure.

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.

Identify the right product for your team

Download Uncovering the hidden data roadblocks of cloud and AI adoption in healthcare

Don’t be blindsided. Understand the challenges that you will encounter as you look to enable AI and other advanced use cases in the cloud.

Download the report

What others are saying about Redox

Wellstar Health System logo

Any business unit that can use real-time insights to drive service and experience improvements will get value from the foundation that we have created with Redox and Microsoft. It will help us dramatically reduce the latency from insight to action and deliver better care for our patients.

Rob Zanin
Executive Director of Digital Consumer Products, Wellstar

Brigham and Women's Hospital logo

We’re eager to be better partners to our colleagues at digital health startups and large vendors alike. This platform will allow us to efficiently and securely share information and data that are essential to supporting the development of novel technologies that have the potential to ultimately improve the care of our patients.

Adam Landman
CIO and SVP of Digital, Mass General Brigham

Create composable experiences for your members


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