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What is Optum360?

Optum360 delivers specialized physician advisory services, integrates evidence-based medical research, and employs cutting-edge artificial intelligence (AI) technology to optimize reimbursement practices and ensure accurate documentation. Our team works alongside your medical staff to pinpoint improvement opportunities. You have the flexibility to choose from our extensive range of services or technology, or even a combination of both, tailored to your unique needs. We offer both on-site and remote services that harness AI for efficient patient status evaluations. Our goal is to improve the efficiency, precision, and reliability of your utilization review processes and outcomes. With our Physician Advisor Services and Case Advisorâ„¢ technology, we help reduce denial rates, boost appropriate reimbursement, and mitigate the risk of audits. Additionally, our technology enhances the productivity and effectiveness of your internal physician advisors, enabling them to perform at their best. By merging these resources, we strive to create a cohesive experience that ultimately enhances patient care, streamlines administrative workflows, and fosters collaboration among healthcare professionals.

What is Optum AI Marketplace?

The Optum AI Marketplace is a carefully designed platform that offers a range of AI-powered solutions intended to transform the healthcare landscape by providing payers, providers, and partners with cutting-edge tools to improve outcomes more efficiently. This marketplace features an extensive assortment of products and services across various categories, such as patient and member engagement, claims and eligibility, care operations, payment and reimbursement, and analytics. One of its key features includes the prior authorization inquiry API, enabling payers to quickly verify a patient’s authorization status, in addition to SmartPay Plus, an electronic cashiering platform aimed at streamlining the payment process for patients and enhancing collection efficiency. Additionally, Optum Advisory Technology Services provides specialized support for organizations embracing digital transformation, including assistance with system selection, procurement processes, and the deployment of AI solutions. The marketplace also partners with reputable resellers like ServiceNow to offer advanced solutions specifically designed for the healthcare industry. By combining innovative technology with expert guidance, Optum AI Marketplace stands out as an essential asset for organizations looking to boost their operational efficiency and enhance the quality of patient care they provide. This platform not only addresses current healthcare needs but also anticipates future challenges in the industry.

Media

Media

Integrations Supported

Avalon Laboratory System

Integrations Supported

Avante
Google Cloud Healthcare API
InvisaClaim
Microsoft 365
ServiceNow

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

Not specified

Supported Platforms

SaaS

Customer Service / Support

Not specified

Customer Service / Support

Web-Based Support

Training Options

Not specified

Training Options

Documentation Hub

Company Facts

Organization Name

Optum

Company Location

United States

Company Website

www.optum360.com/solutions/coding-and-documentation/physician-advisor-solutions.html

Company Facts

Organization Name

Optum

Company Location

United States

Company Website

marketplace.optum.com

Categories and Features

Electronic Medical Records (EMR)

Compliance Tracking
Self Service Portal

Categories and Features

API Marketplaces

Not specified

Healthcare

Not specified

Healthcare APIs

Not specified

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