Change Healthcare

Change Healthcare is owned by UnitedHealth Group, which acquired it through the OptumInsight division in a $13B deal that closed in October 2022 (per UnitedHealth Group, October 2022). The acquisition faced a federal antitrust challenge by the Department of Justice, which ultimately did not block it.

Change Healthcare operates a claims processing and revenue-cycle management platform that handles eligibility verification, claims submission, billing and denial management, and patient payments for hospitals, physician practices, and health insurers. It functions as a clearinghouse connecting payers and providers across the US healthcare payment system.

Change Healthcare processes over 15 billion healthcare transactions annually, making it the largest independent claims clearinghouse in the US. These transactions include claim submissions, payment files, eligibility checks, and prior authorizations that flow between providers and payers.