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Medical record review for health plans

Performing a high-quality review and analysis of medical records is critical to maximizing HEDIS® collection.


Streamline medical record review

To support maximizing HEDIS rates, it takes an expansive network that leverages multiple retrieval methods to optimize collection efforts while minimizing provider abrasion. Optum can help deliver value for your organization through our high-quality solution.

Optum provides a comprehensive Medical Record Review solution that includes retrieval, abstraction, program management, over-read and audit support to achieve industry-leading accuracy standards.

From detailed quality review upon retrieval of charts, to on-demand reports generated through our Chart Review Platform, Optum provides a transparent and comprehensive business model that supports a turnkey, end-to-end process.

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See how Optum can drive better risk and quality outcomes for members, health plans and providers.