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.

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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.

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Integrate using a modern API and consistent data format

SOC II and HIPAA compliant

One API to write to, one set of auth credentials

Redox supports your connections from design through maintenance

Technical overview

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

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

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.

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What others are saying about Redox

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

Because Redox enables integration with so many EHRs, we’re able to tell potential clients, ‘yes we do integrate with your system, we have a solution for you’. Every time we’re faced with an integration there’s an additional lift. We lean on Redox to help us do that. With a partner like Redox, we’re able to focus our resources on building the best infusion center workflow application. Redox has freed our development team to work on the software and not require a developer to focus only on integrations. While Redox continues to build out our integrations, we’ve built and implemented countless new features that our clients really appreciate, including medication vial scanning and appointment reminders.

Bryan Johnson
CEO, WeInfuse