Redox for product teams / Use case
Products and providers use Redox to maximize payer partnerships.
You’re helping payers to lower costs, deliver innovative, personalized experiences to members and improve population health outcomes. Whether you’re looking to sell your product to new payers or streamline workflows with your existing payer partners, Redox can help.
Connect to payers and/or clearinghouses to digitize revenue cycle workflows including eligibility, preauthorization, claim, and payment.
Receive payer orders/referrals, exchange remote patient monitoring data, send lab and genomic test results, and more.
Exchange member information to help payers improve member communications, and build outstanding experiences.
Check eligibility, enroll members in your services, schedule appointments, receive patient demographic information, and transmit information about the care you provide back to the payer (e.g. CCD).
Harmonize payer and provider data to return insights that can be acted on to enhance population health initiatives, advance value-based care programs, and improve HEDIS/STARS performance.
Confirm customer benefit eligibility, and send and receive claims and payments with payer partners and/or clearinghouses.
Get tips from health plan innovation leaders on what matters when pitching your product, and how to build long-lasting relationships after the sale.
Learn more about using Redox as the solution to your business.