Omni-Payer™: Member Information Management for Health Insurers

In the shift to value-based healthcare, Omni-Payer enables health insurers to get a 360-degree view of every member. Payers can collect clinical data from hospitals, doctors’ offices, and community care organizations and unify it with claims and operational data from internal siloed sources, while optimizing the consistency, completeness, and accuracy of that information and making it available to stakeholders in an easy-to-consume way.

Supports Data Accuracy and Availability

Omni-Payer unifies data from physicians’ offices, hospitals, nursing homes, telemedicine, and other sources. It then cleanses and enriches it to provide a complete and accurate picture of every transaction, and creates an environment for efficient clinical data exchange and information sharing across providers and facilities.

Omni-Payer makes it easy to provide integrated, high-quality, mastered data for downstream processes that need it.

Drives Improvements in Care Quality

Omni-Payer helps health insurers to identify gaps in patient care across providers, and gives them advice on how to close those gaps. A comprehensive view of each member's history across multiple domains can help increase HEDIS scores and CMS Star Quality Ratings, improve the management of chronic care patients, enhance clinical practices to promote better outcomes, and support increased care coordination.

Accelerates Provider On-Boarding

With Omni-Payer, data about new providers can be on-boarded easily in diverse forms, including CCD documents, EDI, HL7, and flat files.

Improves Information Management and Usage

Omni-Payer facilitates proactive data governance, provides historical snapshots and traceability, and eliminates "code chaos" by enforcing a single set of codes. Additionally, it enforces standardization for all commonly-used enterprise attributes, such as gender and patient type.

Find Out More

Whether installed on-premises or in the cloud, health insurers can use Omni-Payer to optimize claims adjudication, reimbursements, provider relations, and other processes, while promoting better patient care. To schedule a demo of Omni-Payer or to find out more, get the fact sheet or contact us using this form or by calling 800-969-INFO.