Solutions

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DATA HUB

Continuously providing the right data to the right place at the right time

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Payers save money and reduce administrative waste, creating less friction with providers. Our solutions satisfy current and upcoming federal compliance mandates.

Providers don’t need to waste time getting crucial data from patients, giving them the opportunity to do what they do best - provide the best care possible for their patients.

Digital Solutions Venders can leverage the Opala Data Hub to power their applications, with permission of the patient. Our APIs are “socketed access” that can prepopulate an app with the info a patient would need to self-report.

Actionable and Timely Data

Opala's Suite of Solutions

Complete health record view across care settings, health plans, and time

  • Patient Access API

    Comprehensive patient records combining claims, labs, EHR, and pharmacy data across care settings over 5 years available as FHIR resources, updated continuously, and accessible to patients to import into any third-party app of their choice

  • Provider Directory API

    Provider network and demographic information available to the public in a standardized format to support innovative consumer tools

  • Payer to Payer Exchange

    Tool allowing members to transfer their claims history from a previous payer to their current payer

  • Provider Access API

    Comprehensive patient records combining claims and clinical data available as FHIR resources for provider use, updated continuously

  • Prior Authorization Burden Reduction

    Health plan clinical review requirements, coverage decision status, and details about decisions available in a standardized format supporting automation across providers and payers​

  • Clinical Data Exchange

    Historical and current EHR data delivered to health plans for HEDIS, MA Stars, QHP ratings, ACOs, VBCs and to support automation across providers and payers

  • Uniroster

    Member eligibility and value-based contract patient lists updated continuously and available in a standardized format supporting automation across providers and payers

THE OPALA ADVANTAGE
Industry Expertise
Opala's team comes from payer and provider organizations. This means we better understand your business and your customer needs.
Data as an Asset
We do more than digitize records – we unlock the value of your data and turn it into a strategic asset.
Customer Success
We form design partnerships with our customers and help build trust through transparency across your digital ecosystem.
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