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Change Healthcare Provider Manager

Features
Ease of use
Ease of management
Quality of support
Affordability
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User industry
  1. Healthcare and life sciences
  2. Education and training
  3. Media and communications

What is Change Healthcare Provider Manager

Change Healthcare Provider Manager is a provider data management application used to maintain and govern healthcare provider records across operational and administrative workflows. It supports organizations that need a centralized source for provider demographics, affiliations, locations, and identifiers, often to feed downstream processes such as directory publishing, claims operations, and network administration. The product is typically used by payer and healthcare administration teams that manage large provider networks and require structured data stewardship and controls.

pros

Centralized provider master data

The product focuses on consolidating provider demographics, identifiers, and relationships into a managed system of record. This helps reduce duplicate records and inconsistent provider attributes across departments. It is suited to organizations that need a single place to maintain provider profiles that are reused by multiple downstream systems.

Supports network administration workflows

Provider Manager is designed for operational use cases common in payer/provider administration, such as maintaining affiliations, locations, and participation-related attributes. These capabilities align with needs that often sit adjacent to credentialing and directory management. It can serve as a hub for provider data updates that must be reflected across administrative processes.

Enterprise integration orientation

The product is positioned as part of a broader healthcare administrative technology stack, which can be relevant for organizations running multiple connected modules. In practice, this can simplify data handoffs to other administrative functions that depend on provider data. It is most applicable where integration with existing enterprise healthcare systems is a primary requirement.

cons

Limited public product transparency

Publicly available, detailed documentation on specific features, configuration options, and current roadmap is limited compared with some standalone provider data tools. This can make early-stage evaluation and requirements mapping harder without vendor-led discovery. Buyers may need deeper due diligence to confirm support for specific directory, validation, or governance requirements.

Potential dependence on ecosystem

Organizations may realize the most value when the product is implemented alongside other related administrative systems and data flows. If used as a standalone PDM, additional integration work may be required to connect to credentialing, directory publishing, and validation services. This can increase implementation effort for heterogeneous environments.

Complexity for smaller deployments

Provider data management programs often require data governance, stewardship processes, and ongoing operational ownership to be effective. For smaller networks or organizations with limited provider data operations maturity, the product’s enterprise orientation may be more than is needed. Total effort can be driven as much by process and data cleanup as by software configuration.

Plan & Pricing

Plan Price Key features & notes
No public tiers published Contact sales / Custom pricing Change Healthcare does not publish public pricing or standard tiers for "Provider Manager" on its official sites. Prospective buyers are directed to contact sales or request a demo/quote; pricing is negotiated based on organization size, provider volumes, integrations, and implementation scope. Official Change Healthcare / Optum product pages reviewed do not list per-user, per-provider, or subscription prices.

Seller details

Optum, Inc. (UnitedHealth Group) — Change Healthcare business
Eden Prairie, Minnesota, USA
1972
Subsidiary
https://www.optum.com/
https://x.com/optum
https://www.linkedin.com/company/optum/

Tools by Optum, Inc. (UnitedHealth Group) — Change Healthcare business

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Change Healthcare Data & Analytics Solutions
Change Healthcare Revenue Cycle Management
Change Healthcare Clinical Network Solutions
Change Healthcare Prior Authorization
InterQual AutoReview
Change Healthcare Provider Manager
Optum Provider Data Solutions
Optum Financial HSA
Change Healthcare Cardiology Cath
Change Healthcare
Change Healthcare Compliant and Audit Services
Change Healthcare Image Repository
Change Payment Accuracy
Optum Collaborate
Optum Interactive Platform
Optum Lifestyle Spending Account

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