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Healthcare Payers

Utilize enhanced data to increase member engagement, manage social risk factors and create better health outcomes

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Valuable Resources for Payers

The health of your data has a major impact on your bottom line.
Our revenue protection and data integrity solutions, include:

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Social Determinant Risk Attributes

Identify and address social risk factors that impact members to enable smarter population health management decisions. TransUnion Healthcare’s Social Determinant Risk Attributes deliver powerful datasets to help address:

  • Risk classification
  • Prognostic modeling
  • Care management
other health insurance discovery product

Insurance Discovery

Identify potential first-in-line insurance coverage for your member claims. Our Insurance Discovery solution — offered to payers and cost containment vendors — leverages TransUnion’s proprietary data assets to discover previously unknown coverage. Findings are:

  • Verified as active for the date of service
  • Include only viable, high-quality results
claim form

Member Identity Management

Engage members and effectively coordinate care by updating outdated or missing contact information. Our data-driven Member Identity Management solution helps ensure accurate member information. Our databases contain information on over 95% of the U.S. population including:

  • Over 13 billion unique name and address combinations
  • 4 billion telephone records
analytics on mobile device

Encounter and Clinical Data Processing

Better manage healthcare transactions with comprehensive data and analytics to improve clinical outcomes. Our solutions help:

  • Securely transmit and convert electronic encounters and claims from providers into HIPAA-compliant formats with ease using TransUnion’s Clearinghouse
  • Increase data quality and first-time throughput rates to succeed with value-based payment models
  • Drive improvement on timely submissions and gain performance insights on performance
  • Improve quality ratings and calculations for risk adjustment scores
  • Digest complex information through detailed, customizable reports and dashboards

Why TransUnion Healthcare is the Right Partner for Payers

Healthcare payers are positioned to drive industry change, but to do so you need a partner firmly committed to your success — and the well-being of your members. As a market-leading data and insights company, TransUnion Healthcare is a trusted source of information dedicated to helping you:

  • Advance your member engagement strategies
  • Access contact information that’s updated and accurate
  • Better predict member and population risk to improve wellness based on socioeconomic factors and other data sources
  • Identify other insurance coverage when you’ve been incorrectly billed as the primary payer

With our access to 90,000+ data sources, connections to 880+ payers, and the ability to process more than 5 million transactions daily through our insurance clearinghouse, we’re well-equipped to help you improve member health and your bottom line. That’s Information for Good®.

Put yourself on the path to continued success. Fill out the form below for more information, and a TransUnion Healthcare expert will contact you.

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