Skip to content
Redox logo
Get pricing
Overview

Power risk and quality initiatives with real-time member data

Redox for Payers streamlines the flow of data across diverse systems, formats, and partners—without straining your IT resources. Whether you’re advancing value-based care, closing care gaps, or integrating with provider partners, Redox offers scalable, reliable interoperability to accelerate your initiatives.

Why payer organizations choose Redox:

  • We manage the end-to-end integration—from connections to data transformation—so your teams can stay focused on strategic initiatives.
  • Aggregate and normalize data from multiple sources to power advanced analytics, risk and quality initiatives, and care coordination.
  • Seamlessly ingest real-time data into your analytics platforms, data lakes, or cloud environments with control and flexibility.
  • Write back key data—like risk scores and care gaps—discretely into EHRs to surface insights where providers need them most.

For payers

Use case

Transform member data for HEDIS reporting

Convert data into FHIR to streamline HEDIS submission.

Learn more
Use case

Standardize data for risk & quality tools

Convert and normalize data into the formats required by downstream risk engines, HEDIS tools, and quality apps.

Learn more
Use case

Surface care gaps in the clinical workflow

Turn FHIR insights into actionable care gap alerts delivered directly in the provider’s EHR.

Learn more
Use case

Consolidate and normalize member data

Integrate new clinical data sources and standardize member data into your FHIR store for consistent, scalable use.

Learn more
Use case

Streamline electronic prior authorization

Easily move between data formats to enable real-time, EHR-integrated prior authorization workflows with providers.

Learn more

Why choose Redox?

Exceptional technology

Our vendor-agnostic platform has the most expansive scale and footprint in the industry.

  • Capabilities refined over 7K+ integrations across 90+ EHRs and other source systems
  • Huge scalability, processing more than 34M data transactions each day
  • Pre-built Redox configurations to accelerate your project timelines

Deep domain expertise

For more than a decade, we’ve built an impeccable track record of successful healthcare integration deployments.

  • Hundreds of person-years of experience in healthcare technology and data integration
  • Workflow mastery across disparate EHRs, APIs, cloud vendors, payer source systems, and digital health tools
  • Expert normalization across data standards including HL7® v2, DICOM®, X12, CDA/XML, JSON, HL7® FHIR®
  • Full-service integration spanning implementation, adoption, and maintenance

Unmatched security

The Redox platform is secured by the industry’s gold standard in data protection.

  • 100% cloud hosting
  • HITRUST® certification
  • SOC 2® report maintenance
  • Regulatory compliance with GDPR, CCPA, and HIPAA
  • A public bug bounty program managed by HackerOne

Case study

Case study

Learn how Redox has helped customers and their healthcare system partners to reduce staff processing times and overall prior authorization turnaround times by as much as 60%.

Read the case study

What our customers say about us

“Any business unit that can use real-time insights to drive service and experience improvements will get value from the foundation that we have created with Redox and Microsoft. It will help us dramatically reduce the latency from insight to action and deliver better care for our patients.”

Rob Zanin

Executive Director of Digital Consumer Products, Wellstar

“We’re eager to be better partners to our colleagues at digital health startups and large vendors alike. This platform will allow us to efficiently and securely share information and data that are essential to supporting the development of novel technologies that have the potential to ultimately improve the care of our patients.”

Adam Landman

CIO and SVP of Digital, Mass General Brigham

Connect with your healthcare partner

HL7® is a registered trademark of Health Level Seven International. The use of this trademark does not constitute an endorsement by HL7.

FHIR® is a registered trademark of Health Level Seven (HL7) and is used with the permission of HL7. Use of this trademark does not constitute an endorsement of products/services by HL7®.

DICOM® is the registered trademark of the National Electrical Manufacturers Association for its Standards publications relating to digital communications of medical information.

SOC 2® is the registered trademark of the AICPA.

HITRUST® is a registered trademark of HITRUST Service Corp.