Veradigm Payer Platform

One Platform, Not Five Vendors.

Most health plans did not set out to build a patchwork of vendors. Veradigm Payer Platform connects you to 300,000+ providers through one connection.

  • One connected process instead of four or five vendor relationships
  • 300,000+ providers in the chart retrieval network 
  • Get the clinical data you're missing without chart-chase cost

Veradigm Payer Platform

Get the one pager

Expand Provider Reach Through One Connection

The independent market

Why the Next Chapter of Value-Based Care Runs Through the Independent Market

42% of U.S. physicians are independent

A substantial share of U.S. care, and the data that supports it, sits with independent, community-based providers.

Every additional vendor

Means another contract to manage and another data format to reconcile.

Another handoff

Where information can go stale or get lost between systems.

Inside your demo

Why the Next Chapter of Value-Based Care Runs Through the Independent Market

42% of U.S. physicians are independent

A substantial share of U.S. care, and the data that supports it, sits with independent, community-based providers. Source: AMA.

Reaching providers across multiple EHRs

Reaching providers across multiple EHRs doesn't have to mean managing multiple integrations.

Get the clinical data you're missing

Get the clinical data you're missing without chart-chase cost.

Clinical Data Exchange

Expand Provider Reach Through One Connection

Point-of-Care Display

150,000+
providers in the point-of-care network.

Chart Retrieval

300,000+
providers in the chart retrieval network.

Discuss your priorities

Insight → Action → Revenue → Outcomes

Veradigm Payer Platform

01

Analytics

HCC suspects, HEDIS/Stars, Medicare Advantage revenue forecasting.

Risk AdjustmentQualityHealth EquityUtilization
02

Clinical Data Exchange

The two-way connection between health plans and the physicians treating their members. Point-of-care alerts surface gaps during the visit.

Point-of-Care Display (Veradigm Payer Insights)Chart Retrieval
03

Gap Closure Services

We run the programs. Member outreach, pre-visit chart prep, post-encounter coding review, closing risk and quality gaps prospectively.

Member EngagementChart PrepCoding Services
04

Comprehensive Submissions

The reconciliation engine between your clinical programs and what CMS recognizes. Medicare Advantage, Medicaid, and Affordable Care Act exchange in one pipeline.

Risk Adjustment ProcessingEncounter Submissions

Scale & recognition

80+

health plan clients

20M+

patients

300,000+

providers

#1

Black Book Payer Analytics

2024 and 2025

#2

KLAS Risk Analytics

2025 and 2026

See how one connection changes that.

Get the one-pager