Secure Exchange Solutions improves clinical data access and exchange between providers and plans. Our interoperable, cloud-based solutions capture clinical data from diverse source systems in the formats health plans need to support care management, risk adjustment, HEDIS, and Star programs.

Using standards-based technology, we electronically retrieve data from provider workflows and capture, filter, package, and route it to plans and internal systems, accelerating plan coding and analytic workflows. Our provider-friendly solutions significantly improve existing approaches to retrieval while eliminating provider friction and substantially reducing costs. When we deliver data to payers, we ensure that it fits into the workflows of internal teams, 3rd party coding, or analytic solutions.

The SES network includes 400,000+ provider endpoints and access to a network of over 2.7M+ connected providers, representing 1,500 hospitals, 95,000 provider organizations, 50+ health information exchanges, and 95 integrated EMR and HIT application partners. We provide our customers and health plan partners access to a vast trust network including DirectTrust, CareQuality/Commonwell, SHIEC HIEs, and direct to EMR relationships.

Streamline Electronic Record Retrieval for Risk Adjustment, HEDIS and Stars

• Save $$$ – Very competitive pricing, reduce per chart retrieval expenses
• Access to all Meaningful Use Certified EHRs – Epic, Cerner, Athena, etc.
• Leverages a nationwide network of 2.7M+ endpoints to support electronic clinical exchange
• Provider friendly – reduces abrasion
• Bi-directional exchange with providers’ workflow supports related use cases: prospective health assessments, gaps in care, etc.
• Works with internal teams or 3rd party vendors – augments existing retrieval methods

SES eliminates tedious manual tasks by providing health plans with automated solutions that speed clinical data exchange, streamline provider requests, and deliver critical information within provider EMR workflows while reducing costs and abrasion between providers and payers.