Payer interoperability now with EHRs and healthcare technology

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.