# Change Healthcare

*/Products/Change_Healthcare*

## Product Profile

**How It Flows**: It is delivered as a hybrid of API-driven electronic data interchange (EDI) connections and web-based enterprise software. Electronic health record (EHR) systems consume the EDI network to route data programmatically, while billing personnel operate its software interfaces to manage claim denials and revenue reporting.
**Operated By**:
- [Medical billing specialists](/Products/Change_Healthcare/Occupations/Medical_billing_specialists)
- [Revenue cycle managers](/Products/Change_Healthcare/Occupations/Revenue_cycle_managers)
- [Claims adjusters](/Products/Change_Healthcare/Occupations/Claims_adjusters)
- [Healthcare administrators](/Products/Change_Healthcare/Occupations/Healthcare_administrators)
**What It Does**: Change Healthcare routes medical claims, verifies patient insurance eligibility, and manages revenue cycle workflows between healthcare providers and payers. It operates as an electronic clearinghouse to process claims, remit payments, and track billing status.
**Primary Buyers**:
- [Hospital systems](/Products/Change_Healthcare/Customers/Hospital_systems)
- [Health insurance companies](/Products/Change_Healthcare/Customers/Health_insurance_companies)
- [Independent medical practices](/Products/Change_Healthcare/Customers/Independent_medical_practices)
- [Retail pharmacies](/Products/Change_Healthcare/Customers/Retail_pharmacies)

## Product Biz Step Lifecycle

**Summary**: Change Healthcare is an electronic data interchange network and SaaS platform for medical claims management, constituting a pure-digital primitive with no physical supply-chain lifecycle.
**Physical Track**: false

## Neighborhood

### Parent

- [Medical Services](/Products/Medical_Services) — parent · Products

### Siblings

- [AGS Health](/Products/AGS_Health) — siblings · Products
- [AMN Healthcare Services](/Products/AMN_Healthcare_Services) — siblings · Products
- [APPS Paramedical](/Products/APPS_Paramedical) — siblings · Products
- [AWS Comprehend Medical](/Products/AWS_Comprehend_Medical) — siblings · Products
- [Accenture Healthcare BPO](/Products/Accenture_Healthcare_BPO) — siblings · Products
- [AdvancedMD Billing Services](/Products/AdvancedMD_Billing_Services) — siblings · Products
- [After Visit Summary](/Products/After_Visit_Summary) — siblings · Products
- [AnswerConnect Medical Answering](/Products/AnswerConnect_Medical_Answering) — siblings · Products
- [Athenahealth Medical Billing](/Products/Athenahealth_Medical_Billing) — siblings · Products
- [Athenahealth RCM Platform](/Products/Athenahealth_RCM_Platform) — siblings · Products
- [CDS Hooks Service](/Products/CDS_Hooks_Service) — siblings · Products
- [CMS Hospital Compare Data](/Products/CMS_Hospital_Compare_Data) — siblings · Products
- [CPT And ICD Code Reference Database](/Products/CPT_And_ICD_Code_Reference_Database) — siblings · Products
- [CPT Coded Encounters](/Products/CPT_Coded_Encounters) — siblings · Products
- [Care Coordination Plan](/Products/Care_Coordination_Plan) — siblings · Products
- [Care Gap Closure Report](/Products/Care_Gap_Closure_Report) — siblings · Products
- [Care Gap Registry](/Products/Care_Gap_Registry) — siblings · Products
- [Cerner Scheduling](/Products/Cerner_Scheduling) — siblings · Products
- [Chronic Care Management Plan](/Products/Chronic_Care_Management_Plan) — siblings · Products
- [Chronic Care Management Program](/Products/Chronic_Care_Management_Program) — siblings · Products
- [Clinical Consultation Note](/Products/Clinical_Consultation_Note) — siblings · Products
- [Clinical Encounter Note](/Products/Clinical_Encounter_Note) — siblings · Products
- [Clinical Notes](/Products/Clinical_Notes) — siblings · Products
- [Clinician Appointment Schedule](/Products/Clinician_Appointment_Schedule) — siblings · Products
- [Coordinated Care Schedule](/Products/Coordinated_Care_Schedule) — siblings · Products
- [Dictated Consult Notes](/Products/Dictated_Consult_Notes) — siblings · Products
- [Discharge Summaries](/Products/Discharge_Summaries) — siblings · Products
- [Doxy.me](/Products/Doxy.me) — siblings · Products
- [Doxy.me Clinic](/Products/Doxy.me_Clinic) — siblings · Products
- [Global Healthcare Exchange](/Products/Global_Healthcare_Exchange) — siblings · Products
- [Hospital Discharge Datasets](/Products/Hospital_Discharge_Datasets) — siblings · Products
- [Hospital Network Directory](/Products/Hospital_Network_Directory) — siblings · Products
- [Human Medical Scribes](/Products/Human_Medical_Scribes) — siblings · Products
- [Huron Healthcare](/Products/Huron_Healthcare) — siblings · Products
- [IKS Health Review](/Products/IKS_Health_Review) — siblings · Products
- [Indeed Healthcare](/Products/Indeed_Healthcare) — siblings · Products
- [Kyruus](/Products/Kyruus) — siblings · Products
- [Level Of Care Authorization](/Products/Level_Of_Care_Authorization) — siblings · Products
- [Maxim Healthcare Services](/Products/Maxim_Healthcare_Services) — siblings · Products
- [Medallia Healthcare](/Products/Medallia_Healthcare) — siblings · Products
- [Medallion Credentialing](/Products/Medallion_Credentialing) — siblings · Products
- [Medical Billing Agencies](/Products/Medical_Billing_Agencies) — siblings · Products
- [Medical Call Centers](/Products/Medical_Call_Centers) — siblings · Products
- [Medical Carton](/Products/Medical_Carton) — siblings · Products
- [Medical Coding BPOs](/Products/Medical_Coding_BPOs) — siblings · Products
- [Medical Director Attestation](/Products/Medical_Director_Attestation) — siblings · Products
- [Medical Director Authorization](/Products/Medical_Director_Authorization) — siblings · Products
- [Medical Encoder Tool](/Products/Medical_Encoder_Tool) — siblings · Products
- [Medical Equipment Service Plan](/Products/Medical_Equipment_Service_Plan) — siblings · Products
- [Medical Reference Database](/Products/Medical_Reference_Database) — siblings · Products
- [Medical Reference Library](/Products/Medical_Reference_Library) — siblings · Products
- [Medical Strategy Plan](/Products/Medical_Strategy_Plan) — siblings · Products
- [Medical Virtual Assistants](/Products/Medical_Virtual_Assistants) — siblings · Products
- [Medicare Provider Portals](/Products/Medicare_Provider_Portals) — siblings · Products
- [Mediware HCLL](/Products/Mediware_HCLL) — siblings · Products
- [Mercury Healthcare](/Products/Mercury_Healthcare) — siblings · Products
- [Mercury Healthcare CRM](/Products/Mercury_Healthcare_CRM) — siblings · Products
- [Mulesoft Healthcare](/Products/Mulesoft_Healthcare) — siblings · Products
- [MyMedLeads CRM](/Products/MyMedLeads_CRM) — siblings · Products
- [NextGen Healthcare Systems](/Products/NextGen_Healthcare_Systems) — siblings · Products
- [Nextech Clinic](/Products/Nextech_Clinic) — siblings · Products
- [Omega Healthcare](/Products/Omega_Healthcare) — siblings · Products
- [Omega Healthcare Outsourcing](/Products/Omega_Healthcare_Outsourcing) — siblings · Products
- [Optum Clinical Services](/Products/Optum_Clinical_Services) — siblings · Products
- [Optum RCM Services](/Products/Optum_RCM_Services) — siblings · Products
- [Outsourced Credentialing Agencies](/Products/Outsourced_Credentialing_Agencies) — siblings · Products
- [Outsourced Medical Billing](/Products/Outsourced_Medical_Billing) — siblings · Products
- [Outsourced Medical Coders](/Products/Outsourced_Medical_Coders) — siblings · Products
- [Outsourced Nurse Triage](/Products/Outsourced_Nurse_Triage) — siblings · Products
- [Patient Health Portal](/Products/Patient_Health_Portal) — siblings · Products
- [Patient Insights Report](/Products/Patient_Insights_Report) — siblings · Products
- [Patient Journey Map](/Products/Patient_Journey_Map) — siblings · Products
- [Physician Accept Order](/Products/Physician_Accept_Order) — siblings · Products
- [Physician Query](/Products/Physician_Query) — siblings · Products
- [Physician Statements](/Products/Physician_Statements) — siblings · Products
- [Practitioner Credential Application](/Products/Practitioner_Credential_Application) — siblings · Products
- [Provider Availability Calendars](/Products/Provider_Availability_Calendars) — siblings · Products
- [Provider Schedules](/Products/Provider_Schedules) — siblings · Products
- [Provider Scheduling Platform](/Products/Provider_Scheduling_Platform) — siblings · Products
- [PubMed Identifier Service](/Products/PubMed_Identifier_Service) — siblings · Products
- [Renal Care Service](/Products/Renal_Care_Service) — siblings · Products
- [Resident Care Plan](/Products/Resident_Care_Plan) — siblings · Products
- [Resident Care Program](/Products/Resident_Care_Program) — siblings · Products
- [Resident Clinical Records](/Products/Resident_Clinical_Records) — siblings · Products
- [Resident Handbook](/Products/Resident_Handbook) — siblings · Products
- [Resident Placement Roster](/Products/Resident_Placement_Roster) — siblings · Products
- [Resident Safety Plan](/Products/Resident_Safety_Plan) — siblings · Products
- [Resident Service Plan](/Products/Resident_Service_Plan) — siblings · Products
- [Routed Clinical Messages](/Products/Routed_Clinical_Messages) — siblings · Products
- [SNOMED CT Terminology Service](/Products/SNOMED_CT_Terminology_Service) — siblings · Products
- [ScribeAmerica Services](/Products/ScribeAmerica_Services) — siblings · Products
- [Signify Health](/Products/Signify_Health) — siblings · Products
- [Sterling Healthcare Checks](/Products/Sterling_Healthcare_Checks) — siblings · Products
- [Support Coordination Plan](/Products/Support_Coordination_Plan) — siblings · Products
- [Tebra Medical Billing](/Products/Tebra_Medical_Billing) — siblings · Products
- [Telehealth Consultation](/Products/Telehealth_Consultation) — siblings · Products
- [Telehealth Consultation Platform](/Products/Telehealth_Consultation_Platform) — siblings · Products
- [Telehealth Lactation Platforms](/Products/Telehealth_Lactation_Platforms) — siblings · Products
- [Telehealth Platform](/Products/Telehealth_Platform) — siblings · Products
- [Telehealth Video Platform](/Products/Telehealth_Video_Platform) — siblings · Products
- [Teletherapy Video Platform](/Products/Teletherapy_Video_Platform) — siblings · Products
- [Terminology Crosswalks ICD CPT](/Products/Terminology_Crosswalks_ICD_CPT) — siblings · Products
- [Terminology Service](/Products/Terminology_Service) — siblings · Products
- [Virtual Care Network](/Products/Virtual_Care_Network) — siblings · Products

### What uses this

- [Accelerate Insurer Reimbursements](/Problems/Accelerate_Insurer_Reimbursements) — used for · Problems
- [Insurance Claim Denials](/Problems/Insurance_Claim_Denials) — used for · Problems
- [Denied Medicare Claims](/Problems/Denied_Medicare_Claims) — used for · Problems
- [Beneficiary Eligibility Verification](/Problems/Beneficiary_Eligibility_Verification) — used for · Problems
- [Hidden Primary Coverage Detection](/Problems/Hidden_Primary_Coverage_Detection) — used for · Problems
- [Third Party Collection Delays](/Problems/Third_Party_Collection_Delays) — used for · Problems
- [Emergent Code Claims Denials](/Problems/Emergent_Code_Claims_Denials) — used for · Problems
- [Prior Authorization Delays](/Problems/Prior_Authorization_Delays) — used for · Problems
- [Preventable Denial Revenue Leak](/Problems/Preventable_Denial_Revenue_Leak) — used for · Problems
- [Medical Coding Denials](/Problems/Medical_Coding_Denials) — used for · Problems
- [Specialty Procedure Reimbursement](/Problems/Specialty_Procedure_Reimbursement) — used for · Problems
- [Recover Medicare Claim Denials](/Problems/Recover_Medicare_Claim_Denials) — used for · Problems

### Who uses this

- [Medical billing specialists](/Occupations/Medical_billing_specialists) — uses · Occupations
- [Claims adjusters](/Occupations/Claims_adjusters) — uses · Occupations
- [Healthcare administrators](/Occupations/Healthcare_administrators) — uses · Occupations
- [Revenue cycle managers](/Occupations/Revenue_cycle_managers) — uses · Occupations
- [Payment Integrity Platforms](/Software/Payment_Integrity_Platforms) — uses · Software
- [Prior Authorization Specialist](/Agents/Prior_Authorization_Specialist) — uses · Agents

### Incumbents

- [AI Claim Scrubbing For Clinics](/Opportunities/AI_Claim_Scrubbing_For_Clinics) — incumbent in · Opportunities
- [Predictive Denial Prevention For Hospitals](/Opportunities/Predictive_Denial_Prevention_For_Hospitals) — incumbent in · Opportunities
- [Continuous Eligibility API](/Opportunities/Continuous_Eligibility_API) — incumbent in · Opportunities
- [Insurance Verification Service](/Opportunities/Insurance_Verification_Service) — incumbent in · Opportunities
- [Automated Prior Authorization](/Opportunities/Automated_Prior_Authorization) — incumbent in · Opportunities
- [Prior Authorization Orchestration](/Opportunities/Prior_Authorization_Orchestration) — incumbent in · Opportunities
- [Claim Reversal Engine](/Opportunities/Claim_Reversal_Engine) — incumbent in · Opportunities
- [Medicaid Billing Automation](/Opportunities/Medicaid_Billing_Automation) — incumbent in · Opportunities
- [Payer Submission Agent](/Opportunities/Payer_Submission_Agent) — incumbent in · Opportunities
- [Denial Reversal Engine](/Opportunities/Denial_Reversal_Engine) — incumbent in · Opportunities
- [Claim Resolution Engine](/Opportunities/Claim_Resolution_Engine) — incumbent in · Opportunities

### What it buys

- [Hospital systems](/Customers/Hospital_systems) — buys · Customers
- [Independent medical practices](/Customers/Independent_medical_practices) — buys · Customers
- [Retail pharmacies](/Customers/Retail_pharmacies) — buys · Customers
- [Health insurance companies](/Customers/Health_insurance_companies) — buys · Customers