www.changehealthcare.com Open in urlscan Pro
151.101.131.10  Public Scan

URL: https://www.changehealthcare.com/
Submission: On February 27 via manual from US — Scanned from DE

Form analysis 4 forms found in the DOM

Name: ContactUsPOST https://tracking.changehealthcare.com/e/f2

<form method="post" name="ContactUs" action="https://tracking.changehealthcare.com/e/f2" onsubmit="return handleFormSubmit(this)" id="form419" class="elq-form" novalidate="novalidate">
  <input value="ContactUs" type="hidden" name="elqFormName">
  <input value="1647363395" type="hidden" name="elqSiteId">
  <input name="elqCampaignId" type="hidden">
  <div id="formElement0" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field0" class="label-position top ">First Name <span class="required">* </span>
          </label>
          <input id="field0" name="firstName" type="text" value="" class="field-size-top-medium" required="">
        </p>
      </div>
    </div>
  </div>
  <div id="formElement1" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field1" class="label-position top ">Last Name <span class="required">* </span>
          </label>
          <input id="field1" name="lastName" type="text" value="" class="field-size-top-medium" required="">
        </p>
      </div>
    </div>
  </div>
  <div id="formElement2" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size full-width">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field2" class="label-position top ">Business Email: <span class="required">* </span>
          </label>
          <input id="field2" name="emailAddress" type="email" value="" class="field-size-top-medium" required="">
        </p>
      </div>
    </div>
  </div>
  <div id="formElement3" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field3" class="label-position top ">Job Function <span class="required">* </span>
          </label>
          <select id="field3" name="jobRole1" data-value="<eloqua type='emailfield' syntax='Job_Function1' />" class="field-size-top-medium" required="">
            <option value="">-- Please Select -- </option>
            <option value="Administrative/Human Resources">Administrative/Human Resources </option>
            <option value="Administrator">Administrator </option>
            <option value="Billing/Coding">Billing/Coding </option>
            <option value="Board Member/Director/Trustee">Board Member/Director/Trustee </option>
            <option value="Cardiology">Cardiology </option>
            <option value="Care Management/Population Health">Care Management/Population Health </option>
            <option value="Claims &amp; Denials">Claims &amp; Denials </option>
            <option value="Consulting">Consulting </option>
            <option value="Dentistry">Dentistry </option>
            <option value="EDI">EDI </option>
            <option value="EHR Implementation/Management">EHR Implementation/Management </option>
            <option value="Engineering/Technical Staff">Engineering/Technical Staff </option>
            <option value="Enrollment">Enrollment </option>
            <option value="Executive">Executive </option>
            <option value="Finance/Accounting">Finance/Accounting </option>
            <option value="General Management">General Management </option>
            <option value="Information Systems/Technology">Information Systems/Technology </option>
            <option value="Laboratory">Laboratory </option>
            <option value="Legal/Regulatory/Compliance">Legal/Regulatory/Compliance </option>
            <option value="Medical Auditing">Medical Auditing </option>
            <option value="Medical Practice Management">Medical Practice Management </option>
            <option value="Member Engagement">Member Engagement </option>
            <option value="Nurse/Nursing Executive">Nurse/Nursing Executive </option>
            <option value="Office Manager">Office Manager </option>
            <option value="Operations">Operations </option>
            <option value="Patient Access">Patient Access </option>
            <option value="Patient Financial Services">Patient Financial Services </option>
            <option value="Pharmacy">Pharmacy </option>
            <option value="Physician">Physician </option>
            <option value="Physician Practice Management">Physician Practice Management </option>
            <option value="Procurement/Purchasing/Supply">Procurement/Purchasing/Supply </option>
            <option value="Project Management">Project Management </option>
            <option value="Radiology">Radiology </option>
            <option value="Revenue Cycle Management">Revenue Cycle Management </option>
            <option value="Sales/Business Development/Marketing">Sales/Business Development/Marketing </option>
            <option value="Training/Education">Training/Education </option>
            <option value="Vendor Relationships">Vendor Relationships </option>
            <option value="Other">Other </option>
          </select>
        </p>
      </div>
    </div>
  </div>
  <div id="formElement4" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field4" class="label-position top ">Job Level <span class="required">* </span>
          </label>
          <select id="field4" name="jobLevel1" data-value="<eloqua type='emailfield' syntax='Job_Lebel1' />" class="field-size-top-medium" required="">
            <option value="">-- Please Select -- </option>
            <option value="Analyst/Administrator">Analyst/Administrator </option>
            <option value="Chief Compliance Officer">Chief Compliance Officer </option>
            <option value="Chief Executive Officer">Chief Executive Officer </option>
            <option value="Chief Financial Officer">Chief Financial Officer </option>
            <option value="Chief Information Officer">Chief Information Officer </option>
            <option value="Chief Medical Information Officer">Chief Medical Information Officer </option>
            <option value="Chief Medical Officer">Chief Medical Officer </option>
            <option value="Chief Operating Officer">Chief Operating Officer </option>
            <option value="Chief Quality Officer">Chief Quality Officer </option>
            <option value="Chief Technology Officer">Chief Technology Officer </option>
            <option value="C-Level">C-Level </option>
            <option value="Department Chair">Department Chair </option>
            <option value="Director">Director </option>
            <option value="Doctor">Doctor </option>
            <option value="Individual Contributor">Individual Contributor </option>
            <option value="Manager">Manager </option>
            <option value="President">President </option>
            <option value="Senior Vice President">Senior Vice President </option>
            <option value="Vice President">Vice President </option>
            <option value="Other">Other </option>
          </select>
        </p>
      </div>
    </div>
  </div>
  <div id="formElement5" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <!-- SOI update Feb11 START -->
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field5" class="label-position top ">Solution of Interest <span class="required">* </span>
          </label>
          <select id="field5" name="productSolutionOfInterest1" class="field-size-top-medium" required="">
            <option value="" selected="selected">-- Please Select -- </option>
            <option value="Decision Support">Clinical Decision Support Solutions </option>
            <option value="Clinical Network">Clinical Interoperability Solutions </option>
            <option value="Consumer Payments &amp; Communications">Consumer Payments &amp; Communications </option>
            <option value="Dental EDI Network">Dental Network Solutions </option>
            <option value="Imaging">Enterprise Imaging Solutions </option>
            <option value="Consulting">Healthcare Consulting Services </option>
            <option value="Data &amp; Analytics">Healthcare Data &amp; Analytics Solutions </option>
            <option value="Medical Network">Medical Network Solutions </option>
            <option value="Medical Record Retrieval &amp; Clinical Review
">Medical Record Retrieval &amp; Clinical Review </option>
            <option value="Eligibility &amp; Enrollment">Member Eligibility &amp; Enrollment Solutions </option>
            <option value="Member Engagement">Member Engagement Solutions </option>
            <option value="Patient Access &amp; Eligibility">Patient Access &amp; Financial Clearance Solutions </option>
            <option value="Engagement &amp; Experience">Engagement &amp; Experience </option>
            <option value="Connected Consumer Health - Provider">Patient Experience Solutions </option>
            <option value="Payment Accuracy">Payment Accuracy Solutions </option>
            <option value="Pharmacy Benefit Solutions">Pharmacy Benefit Solutions </option>
            <option value="Pharmacy Solutions">Pharmacy Solutions </option>
            <option value="Provider Network Optimization">Provider Network Optimization Solutions </option>
            <option value="Provider Payments">Provider Payment Management Solutions </option>
            <option value="Revenue Improvement">Revenue Cycle Management Solutions </option>
            <option value="Risk Adjustment Analytics">Risk Adjustment and Quality Solutions </option>
            <option value="Transparency &amp; Provider Search">Transparency &amp; Provider Search </option>
            <option value="Value-Based Care Enablement">Value-Based Care Enablement </option>
            <option value="Value-Based Payments">Value-Based Care Solutions </option>
          </select>
        </p>
      </div>
    </div>
  </div>
  <!-- SOI update Feb11 END -->
  <div id="formElement6" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size" style="display: none;">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field6" class="label-position top ">Solution Type </label>
          <select id="field6" name="solutionType1" class="field-size-top-medium">
            <option value="">-- Please Select -- </option>
            <option value="Services">Services </option>
            <option value="Technology">Technology </option>
            <option value="Unsure">Unsure </option>
          </select>
        </p>
      </div>
    </div>
  </div>
  <div id="formElement7" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size" style="display: none;">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field7" class="label-position top ">Claims Volume </label>
          <input id="field7" name="ClaimsVolume" type="text" value="" class="field-size-top-medium">
        </p>
      </div>
    </div>
  </div>
  <div id="formElement8" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field8" class="label-position top ">Company <span class="required">* </span>
          </label>
          <input id="field8" name="company" type="text" value="" class="field-size-top-medium" required="">
        </p>
      </div>
    </div>
  </div>
  <div id="formElement9" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field9" class="label-position top ">Company Type <span class="required">* </span>
          </label>
          <select id="field9" name="organizationType1" data-value="<eloqua type='emailfield' syntax='Company_Type1' />" class="field-size-top-medium" required="">
            <option value="" selected="selected">-- Please Select -- </option>
            <option value="Billing Service">Billing Service </option>
            <option value="Dental">Dental </option>
            <option value="Emergency Medical Service">Emergency Medical Service </option>
            <option value="Government Agency">Government Agency </option>
            <option value="Healthcare Information Exchange">Healthcare Information Exchange </option>
            <option value="Home Health Agency">Home Health Agency </option>
            <option value="Hospital Employed Practice">Hospital Employed Practice </option>
            <option value="Hospital/Health System">Hospital/Health System </option>
            <option value="Imaging Center">Imaging Center </option>
            <option value="Independent Practice Affiliated with Hospital">Independent Practice Affiliated with Hospital </option>
            <option value="Independent Practice Not Affiliated with Hospital">Independent Practice Not Affiliated with Hospital </option>
            <option value="Laboratory">Laboratory </option>
            <option value="Partner/Reseller">Partner/Reseller </option>
            <option value="Payer">Payer </option>
            <option value="Software Vendor">Software Vendor </option>
            <option value="Trust">Trust </option>
            <option value="Other">Other </option>
          </select>
        </p>
      </div>
    </div>
  </div>
  <div id="formElement10" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size" style="display: none;">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field10" class="label-position top ">Bed Size </label>
          <select id="field10" name="BedSize" class="field-size-top-medium">
            <option value="" selected="selected">-- Please Select -- </option>
            <option value="1-199">1-199 </option>
            <option value="200+">200+ </option>
          </select>
        </p>
      </div>
    </div>
  </div>
  <div id="formElement11" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size" style="display: none;">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field11" class="label-position top ">Practice Specialty </label>
          <select id="field11" name="ProviderSpecialty" class="field-size-top-medium">
            <option value="">-- Please Select -- </option>
            <option value="Anesthesia">Anesthesia </option>
            <option value="Cardiology">Cardiology </option>
            <option value="Emergency Medicine">Emergency Medicine </option>
            <option value="Pathology">Pathology </option>
            <option value="Radiology">Radiology </option>
            <option value="Other">Other </option>
          </select>
        </p>
      </div>
    </div>
  </div>
  <div id="formElement12" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size" style="display: none;">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field12" class="label-position top ">Number of Covered Lives </label>
          <input id="field12" name="NumCoveredLives" type="text" value="" class="field-size-top-medium">
        </p>
      </div>
    </div>
  </div>
  <div id="formElement13" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size" style="display: none;">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field13" class="label-position top ">Practice Management Software Vendor </label>
          <input id="field13" name="SoftwareVendor" type="text" value="" class="field-size-top-medium">
        </p>
      </div>
    </div>
  </div>
  <div id="formElement14" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field14" class="label-position top ">Business Phone <span class="required">* </span>
          </label>
          <input id="field14" name="busPhone" type="text" value="" class="field-size-top-medium" required="">
        </p>
      </div>
    </div>
  </div>
  <div id="formElement15" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper">
    </div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p">
          <label for="field15" class="label-position top ">Country <span class="required">* </span>
          </label>
          <select id="field15" name="Country" class="field-size-top-medium" required="">
            <option value="">Please select </option>
            <option value="US">United States </option>
            <option value="GB">United Kingdom </option>
            <option value="CA">Canada </option>
            <option value="IN">India </option>
            <option value="NL">Netherlands </option>
            <option value="AU">Australia </option>
            <option value="ZA">South Africa </option>
            <option value="FR">France </option>
            <option value="DE">Germany </option>
            <option value="SG">Singapore </option>
            <option value="SE">Sweden </option>
            <option value="BR">Brazil </option>
            <option value="">-------------- </option>
            <option value="AF">Afghanistan </option>
            <option value="AX">Åland Islands </option>
            <option value="AL">Albania </option>
            <option value="DZ">Algeria </option>
            <option value="AS">American Samoa </option>
            <option value="AD">Andorra </option>
            <option value="AO">Angola </option>
            <option value="AI">Anguilla </option>
            <option value="AQ">Antarctica </option>
            <option value="AG">Antigua and Barbuda </option>
            <option value="AR">Argentina </option>
            <option value="AM">Armenia </option>
            <option value="AW">Aruba </option>
            <option value="AU">Australia </option>
            <option value="AT">Austria </option>
            <option value="AZ">Azerbaijan </option>
            <option value="BS">Bahamas </option>
            <option value="BH">Bahrain </option>
            <option value="BD">Bangladesh </option>
            <option value="BB">Barbados </option>
            <option value="BY">Belarus </option>
            <option value="BE">Belgium </option>
            <option value="BZ">Belize </option>
            <option value="BJ">Benin </option>
            <option value="BM">Bermuda </option>
            <option value="BT">Bhutan </option>
            <option value="BO">Bolivia </option>
            <option value="BA">Bosnia and Herzegovina </option>
            <option value="BW">Botswana </option>
            <option value="BV">Bouvet Island </option>
            <option value="BR">Brazil </option>
            <option value="IO">Brit/Indian Ocean Terr. </option>
            <option value="BN">Brunei Darussalam </option>
            <option value="BG">Bulgaria </option>
            <option value="BF">Burkina Faso </option>
            <option value="BI">Burundi </option>
            <option value="KH">Cambodia </option>
            <option value="CM">Cameroon </option>
            <option value="CA">Canada </option>
            <option value="CV">Cape Verde </option>
            <option value="KY">Cayman Islands </option>
            <option value="CF">Central African Republic </option>
            <option value="TD">Chad </option>
            <option value="CL">Chile </option>
            <option value="CN">China </option>
            <option value="CX">Christmas Island </option>
            <option value="CC">Cocos (Keeling) Islands </option>
            <option value="CO">Colombia </option>
            <option value="KM">Comoros </option>
            <option value="CG">Congo </option>
            <option value="CD">Congo, The Dem. Republic Of </option>
            <option value="CK">Cook Islands </option>
            <option value="CR">Costa Rica </option>
            <option value="CI">Côte d'Ivoire </option>
            <option value="HR">Croatia </option>
            <option value="CU">Cuba </option>
            <option value="CY">Cyprus </option>
            <option value="CZ">Czech Republic </option>
            <option value="DK">Denmark </option>
            <option value="DJ">Djibouti </option>
            <option value="DM">Dominica </option>
            <option value="DO">Dominican Republic </option>
            <option value="EC">Ecuador </option>
            <option value="EG">Egypt </option>
            <option value="SV">El Salvador </option>
            <option value="GQ">Equatorial Guinea </option>
            <option value="ER">Eritrea </option>
            <option value="EE">Estonia </option>
            <option value="ET">Ethiopia </option>
            <option value="FK">Falkland Islands </option>
            <option value="FO">Faroe Islands </option>
            <option value="FJ">Fiji </option>
            <option value="FI">Finland </option>
            <option value="FR">France </option>
            <option value="GF">French Guiana </option>
            <option value="PF">French Polynesia </option>
            <option value="TF">French Southern Terr. </option>
            <option value="GA">Gabon </option>
            <option value="GM">Gambia </option>
            <option value="GE">Georgia </option>
            <option value="DE">Germany </option>
            <option value="GH">Ghana </option>
            <option value="GI">Gibraltar </option>
            <option value="GB">United Kingdom </option>
            <option value="GR">Greece </option>
            <option value="GL">Greenland </option>
            <option value="GD">Grenada </option>
            <option value="GP">Guadeloupe </option>
            <option value="GU">Guam </option>
            <option value="GT">Guatemala </option>
            <option value="GN">Guinea </option>
            <option value="GW">Guinea-Bissau </option>
            <option value="GY">Guyana </option>
            <option value="HT">Haiti </option>
            <option value="HM">Heard/McDonald Isls. </option>
            <option value="HN">Honduras </option>
            <option value="HK">Hong Kong </option>
            <option value="HU">Hungary </option>
            <option value="IS">Iceland </option>
            <option value="IN">India </option>
            <option value="ID">Indonesia </option>
            <option value="IR">Iran </option>
            <option value="IQ">Iraq </option>
            <option value="IE">Ireland </option>
            <option value="IL">Israel </option>
            <option value="IT">Italy </option>
            <option value="JM">Jamaica </option>
            <option value="JP">Japan </option>
            <option value="JO">Jordan </option>
            <option value="KZ">Kazakhstan </option>
            <option value="KE">Kenya </option>
            <option value="KI">Kiribati </option>
            <option value="KP">Korea (North) </option>
            <option value="KR">Korea (South) </option>
            <option value="KW">Kuwait </option>
            <option value="KG">Kyrgyzstan </option>
            <option value="LA">Laos </option>
            <option value="LV">Latvia </option>
            <option value="LB">Lebanon </option>
            <option value="LS">Lesotho </option>
            <option value="LR">Liberia </option>
            <option value="LY">Libya </option>
            <option value="LI">Liechtenstein </option>
            <option value="LT">Lithuania </option>
            <option value="LU">Luxembourg </option>
            <option value="MO">Macau </option>
            <option value="MK">Macedonia </option>
            <option value="MG">Madagascar </option>
            <option value="MW">Malawi </option>
            <option value="MY">Malaysia </option>
            <option value="MV">Maldives </option>
            <option value="ML">Mali </option>
            <option value="MT">Malta </option>
            <option value="MH">Marshall Islands </option>
            <option value="MQ">Martinique </option>
            <option value="MR">Mauritania </option>
            <option value="MU">Mauritius </option>
            <option value="YT">Mayotte </option>
            <option value="MX">Mexico </option>
            <option value="FM">Micronesia </option>
            <option value="MD">Moldova </option>
            <option value="MC">Monaco </option>
            <option value="MN">Mongolia </option>
            <option value="MS">Montserrat </option>
            <option value="MA">Morocco </option>
            <option value="MZ">Mozambique </option>
            <option value="MM">Myanmar </option>
            <option value="MP">N. Mariana Isls. </option>
            <option value="NA">Namibia </option>
            <option value="NR">Nauru </option>
            <option value="NP">Nepal </option>
            <option value="NL">Netherlands </option>
            <option value="AN">Netherlands Antilles </option>
            <option value="NC">New Caledonia </option>
            <option value="NZ">New Zealand </option>
            <option value="NI">Nicaragua </option>
            <option value="NE">Niger </option>
            <option value="NG">Nigeria </option>
            <option value="NU">Niue </option>
            <option value="NF">Norfolk Island </option>
            <option value="NO">Norway </option>
            <option value="OM">Oman </option>
            <option value="PK">Pakistan </option>
            <option value="PW">Palau </option>
            <option value="PS">Palestinian Territory, Occupied </option>
            <option value="PA">Panama </option>
            <option value="PG">Papua New Guinea </option>
            <option value="PY">Paraguay </option>
            <option value="PE">Peru </option>
            <option value="PH">Philippines </option>
            <option value="PN">Pitcairn </option>
            <option value="PL">Poland </option>
            <option value="PT">Portugal </option>
            <option value="PR">Puerto Rico </option>
            <option value="QA">Qatar </option>
            <option value="RE">Reunion </option>
            <option value="RO">Romania </option>
            <option value="RU">Russian Federation </option>
            <option value="RW">Rwanda </option>
            <option value="KN">Saint Kitts and Nevis </option>
            <option value="LC">Saint Lucia </option>
            <option value="WS">Samoa </option>
            <option value="SM">San Marino </option>
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            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <input type="text" class="elq-item-input" name="Organization" id="fe45576" value="" style="width:100%;" required="">
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement5" class="elq-field-style form-element-layout row">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45592">Country <span class="elq-required">* </span>
              </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <select class="elq-item-select" id="fe45592" name="Country" style="width:100%;" data-value="" required="">
                      <option value="">Please select </option>
                      <option value="US">United States </option>
                      <option value="GB">United Kingdom </option>
                      <option value="CA">Canada </option>
                      <option value="IN">India </option>
                      <option value="NL">Netherlands </option>
                      <option value="AU">Australia </option>
                      <option value="ZA">South Africa </option>
                      <option value="FR">France </option>
                      <option value="DE">Germany </option>
                      <option value="SG">Singapore </option>
                      <option value="SE">Sweden </option>
                      <option value="BR">Brazil </option>
                      <option value="">-------------- </option>
                      <option value="AF">Afghanistan </option>
                      <option value="AX">Åland Islands </option>
                      <option value="AL">Albania </option>
                      <option value="DZ">Algeria </option>
                      <option value="AS">American Samoa </option>
                      <option value="AD">Andorra </option>
                      <option value="AO">Angola </option>
                      <option value="AI">Anguilla </option>
                      <option value="AQ">Antarctica </option>
                      <option value="AG">Antigua and Barbuda </option>
                      <option value="AR">Argentina </option>
                      <option value="AM">Armenia </option>
                      <option value="AW">Aruba </option>
                      <option value="AU">Australia </option>
                      <option value="AT">Austria </option>
                      <option value="AZ">Azerbaijan </option>
                      <option value="BS">Bahamas </option>
                      <option value="BH">Bahrain </option>
                      <option value="BD">Bangladesh </option>
                      <option value="BB">Barbados </option>
                      <option value="BY">Belarus </option>
                      <option value="BE">Belgium </option>
                      <option value="BZ">Belize </option>
                      <option value="BJ">Benin </option>
                      <option value="BM">Bermuda </option>
                      <option value="BT">Bhutan </option>
                      <option value="BO">Bolivia </option>
                      <option value="BA">Bosnia and Herzegovina </option>
                      <option value="BW">Botswana </option>
                      <option value="BV">Bouvet Island </option>
                      <option value="BR">Brazil </option>
                      <option value="IO">Brit/Indian Ocean Terr. </option>
                      <option value="BN">Brunei Darussalam </option>
                      <option value="BG">Bulgaria </option>
                      <option value="BF">Burkina Faso </option>
                      <option value="BI">Burundi </option>
                      <option value="KH">Cambodia </option>
                      <option value="CM">Cameroon </option>
                      <option value="CA">Canada </option>
                      <option value="CV">Cape Verde </option>
                      <option value="KY">Cayman Islands </option>
                      <option value="CF">Central African Republic </option>
                      <option value="TD">Chad </option>
                      <option value="CL">Chile </option>
                      <option value="CN">China </option>
                      <option value="CX">Christmas Island </option>
                      <option value="CC">Cocos (Keeling) Islands </option>
                      <option value="CO">Colombia </option>
                      <option value="KM">Comoros </option>
                      <option value="CG">Congo </option>
                      <option value="CD">Congo, The Dem. Republic Of </option>
                      <option value="CK">Cook Islands </option>
                      <option value="CR">Costa Rica </option>
                      <option value="CI">Côte d'Ivoire </option>
                      <option value="HR">Croatia </option>
                      <option value="CU">Cuba </option>
                      <option value="CY">Cyprus </option>
                      <option value="CZ">Czech Republic </option>
                      <option value="DK">Denmark </option>
                      <option value="DJ">Djibouti </option>
                      <option value="DM">Dominica </option>
                      <option value="DO">Dominican Republic </option>
                      <option value="EC">Ecuador </option>
                      <option value="EG">Egypt </option>
                      <option value="SV">El Salvador </option>
                      <option value="GQ">Equatorial Guinea </option>
                      <option value="ER">Eritrea </option>
                      <option value="EE">Estonia </option>
                      <option value="ET">Ethiopia </option>
                      <option value="FK">Falkland Islands </option>
                      <option value="FO">Faroe Islands </option>
                      <option value="FJ">Fiji </option>
                      <option value="FI">Finland </option>
                      <option value="FR">France </option>
                      <option value="GF">French Guiana </option>
                      <option value="PF">French Polynesia </option>
                      <option value="TF">French Southern Terr. </option>
                      <option value="GA">Gabon </option>
                      <option value="GM">Gambia </option>
                      <option value="GE">Georgia </option>
                      <option value="DE">Germany </option>
                      <option value="GH">Ghana </option>
                      <option value="GI">Gibraltar </option>
                      <option value="GB">United Kingdom </option>
                      <option value="GR">Greece </option>
                      <option value="GL">Greenland </option>
                      <option value="GD">Grenada </option>
                      <option value="GP">Guadeloupe </option>
                      <option value="GU">Guam </option>
                      <option value="GT">Guatemala </option>
                      <option value="GN">Guinea </option>
                      <option value="GW">Guinea-Bissau </option>
                      <option value="GY">Guyana </option>
                      <option value="HT">Haiti </option>
                      <option value="HM">Heard/McDonald Isls. </option>
                      <option value="HN">Honduras </option>
                      <option value="HK">Hong Kong </option>
                      <option value="HU">Hungary </option>
                      <option value="IS">Iceland </option>
                      <option value="IN">India </option>
                      <option value="ID">Indonesia </option>
                      <option value="IR">Iran </option>
                      <option value="IQ">Iraq </option>
                      <option value="IE">Ireland </option>
                      <option value="IL">Israel </option>
                      <option value="IT">Italy </option>
                      <option value="JM">Jamaica </option>
                      <option value="JP">Japan </option>
                      <option value="JO">Jordan </option>
                      <option value="KZ">Kazakhstan </option>
                      <option value="KE">Kenya </option>
                      <option value="KI">Kiribati </option>
                      <option value="KP">Korea (North) </option>
                      <option value="KR">Korea (South) </option>
                      <option value="KW">Kuwait </option>
                      <option value="KG">Kyrgyzstan </option>
                      <option value="LA">Laos </option>
                      <option value="LV">Latvia </option>
                      <option value="LB">Lebanon </option>
                      <option value="LS">Lesotho </option>
                      <option value="LR">Liberia </option>
                      <option value="LY">Libya </option>
                      <option value="LI">Liechtenstein </option>
                      <option value="LT">Lithuania </option>
                      <option value="LU">Luxembourg </option>
                      <option value="MO">Macau </option>
                      <option value="MK">Macedonia </option>
                      <option value="MG">Madagascar </option>
                      <option value="MW">Malawi </option>
                      <option value="MY">Malaysia </option>
                      <option value="MV">Maldives </option>
                      <option value="ML">Mali </option>
                      <option value="MT">Malta </option>
                      <option value="MH">Marshall Islands </option>
                      <option value="MQ">Martinique </option>
                      <option value="MR">Mauritania </option>
                      <option value="MU">Mauritius </option>
                      <option value="YT">Mayotte </option>
                      <option value="MX">Mexico </option>
                      <option value="FM">Micronesia </option>
                      <option value="MD">Moldova </option>
                      <option value="MC">Monaco </option>
                      <option value="MN">Mongolia </option>
                      <option value="MS">Montserrat </option>
                      <option value="MA">Morocco </option>
                      <option value="MZ">Mozambique </option>
                      <option value="MM">Myanmar </option>
                      <option value="MP">N. Mariana Isls. </option>
                      <option value="NA">Namibia </option>
                      <option value="NR">Nauru </option>
                      <option value="NP">Nepal </option>
                      <option value="NL">Netherlands </option>
                      <option value="AN">Netherlands Antilles </option>
                      <option value="NC">New Caledonia </option>
                      <option value="NZ">New Zealand </option>
                      <option value="NI">Nicaragua </option>
                      <option value="NE">Niger </option>
                      <option value="NG">Nigeria </option>
                      <option value="NU">Niue </option>
                      <option value="NF">Norfolk Island </option>
                      <option value="NO">Norway </option>
                      <option value="OM">Oman </option>
                      <option value="PK">Pakistan </option>
                      <option value="PW">Palau </option>
                      <option value="PS">Palestinian Territory, Occupied </option>
                      <option value="PA">Panama </option>
                      <option value="PG">Papua New Guinea </option>
                      <option value="PY">Paraguay </option>
                      <option value="PE">Peru </option>
                      <option value="PH">Philippines </option>
                      <option value="PN">Pitcairn </option>
                      <option value="PL">Poland </option>
                      <option value="PT">Portugal </option>
                      <option value="PR">Puerto Rico </option>
                      <option value="QA">Qatar </option>
                      <option value="RE">Reunion </option>
                      <option value="RO">Romania </option>
                      <option value="RU">Russian Federation </option>
                      <option value="RW">Rwanda </option>
                      <option value="KN">Saint Kitts and Nevis </option>
                      <option value="LC">Saint Lucia </option>
                      <option value="WS">Samoa </option>
                      <option value="SM">San Marino </option>
                      <option value="ST">Sao Tome/Principe </option>
                      <option value="SA">Saudi Arabia </option>
                      <option value="SN">Senegal </option>
                      <option value="CS">Serbia and Montenegro </option>
                      <option value="SC">Seychelles </option>
                      <option value="SL">Sierra Leone </option>
                      <option value="SG">Singapore </option>
                      <option value="SK">Slovak Republic </option>
                      <option value="SI">Slovenia </option>
                      <option value="SB">Solomon Islands </option>
                      <option value="SO">Somalia </option>
                      <option value="ZA">South Africa </option>
                      <option value="ES">Spain </option>
                      <option value="LK">Sri Lanka </option>
                      <option value="SH">St. Helena </option>
                      <option value="PM">St. Pierre and Miquelon </option>
                      <option value="VC">St. Vincent and Grenadines </option>
                      <option value="SD">Sudan </option>
                      <option value="SR">Suriname </option>
                      <option value="SJ">Svalbard/Jan Mayen Isls. </option>
                      <option value="SZ">Swaziland </option>
                      <option value="SE">Sweden </option>
                      <option value="CH">Switzerland </option>
                      <option value="SY">Syria </option>
                      <option value="TW">Taiwan </option>
                      <option value="TJ">Tajikistan </option>
                      <option value="TZ">Tanzania </option>
                      <option value="TH">Thailand </option>
                      <option value="TL">Timor-Leste </option>
                      <option value="TG">Togo </option>
                      <option value="TK">Tokelau </option>
                      <option value="TO">Tonga </option>
                      <option value="TT">Trinidad and Tobago </option>
                      <option value="TN">Tunisia </option>
                      <option value="TR">Turkey </option>
                      <option value="TM">Turkmenistan </option>
                      <option value="TC">Turks/Caicos Isls. </option>
                      <option value="TV">Tuvalu </option>
                      <option value="UG">Uganda </option>
                      <option value="UA">Ukraine </option>
                      <option value="AE">United Arab Emirates </option>
                      <option value="US">United States </option>
                      <option value="UM">US Minor Outlying Is. </option>
                      <option value="UY">Uruguay </option>
                      <option value="UZ">Uzbekistan </option>
                      <option value="VU">Vanuatu </option>
                      <option value="VA">Vatican City </option>
                      <option value="VE">Venezuela </option>
                      <option value="VN">Viet Nam </option>
                      <option value="VG">Virgin Islands (British) </option>
                      <option value="VI">Virgin Islands (U.S.) </option>
                      <option value="WF">Wallis/Futuna Isls. </option>
                      <option value="EH">Western Sahara </option>
                      <option value="YE">Yemen </option>
                      <option value="ZM">Zambia </option>
                      <option value="ZW">Zimbabwe </option>
                    </select>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement6" class="elq-field-style form-element-layout row">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45577">State or Province <span class="elq-required">* </span>
              </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <select class="elq-item-select" id="fe45577" name="stateProv" style="width:100%;" data-value="~~eloqua..type--emailfield..syntax--State_Prov~~" required="">
                      <option value="">Please Select... </option>
                      <option value="AK">Alaska </option>
                      <option value="AL">Alabama </option>
                      <option value="AR">Arkansas </option>
                      <option value="AS">American Samoa </option>
                      <option value="AZ">Arizona </option>
                      <option value="CA">California </option>
                      <option value="CO">Colorado </option>
                      <option value="CT">Connecticut </option>
                      <option value="DC">D.C. </option>
                      <option value="DE">Delaware </option>
                      <option value="FL">Florida </option>
                      <option value="FM">Micronesia </option>
                      <option value="GA">Georgia </option>
                      <option value="GU">Guam </option>
                      <option value="HI">Hawaii </option>
                      <option value="IA">Iowa </option>
                      <option value="ID">Idaho </option>
                      <option value="IL">Illinois </option>
                      <option value="IN">Indiana </option>
                      <option value="KS">Kansas </option>
                      <option value="KY">Kentucky </option>
                      <option value="LA">Louisiana </option>
                      <option value="MA">Massachusetts </option>
                      <option value="MD">Maryland </option>
                      <option value="ME">Maine </option>
                      <option value="MH">Marshall Islands </option>
                      <option value="MI">Michigan </option>
                      <option value="MN">Minnesota </option>
                      <option value="MO">Missouri </option>
                      <option value="MP">Marianas </option>
                      <option value="MS">Mississippi </option>
                      <option value="MT">Montana </option>
                      <option value="NC">North Carolina </option>
                      <option value="ND">North Dakota </option>
                      <option value="NE">Nebraska </option>
                      <option value="NH">New Hampshire </option>
                      <option value="NJ">New Jersey </option>
                      <option value="NM">New Mexico </option>
                      <option value="NV">Nevada </option>
                      <option value="NY">New York </option>
                      <option value="OH">Ohio </option>
                      <option value="OK">Oklahoma </option>
                      <option value="OR">Oregon </option>
                      <option value="PA">Pennsylvania </option>
                      <option value="PR">Puerto Rico </option>
                      <option value="PW">Palau </option>
                      <option value="RI">Rhode Island </option>
                      <option value="SC">South Carolina </option>
                      <option value="SD">South Dakota </option>
                      <option value="TN">Tennessee </option>
                      <option value="TX">Texas </option>
                      <option value="UT">Utah </option>
                      <option value="VA">Virginia </option>
                      <option value="VI">Virgin Islands </option>
                      <option value="VT">Vermont </option>
                      <option value="WA">Washington </option>
                      <option value="WI">Wisconsin </option>
                      <option value="WV">West Virginia </option>
                      <option value="WY">Wyoming </option>
                      <option value="">-- Other Locations -- </option>
                      <option value="AA">Military Americas </option>
                      <option value="AE">Military Europe/ME/Canada </option>
                      <option value="AP">Military Pacific </option>
                      <option value="AB">Alberta </option>
                      <option value="MB">Manitoba </option>
                      <option value="BC">British Columbia </option>
                      <option value="NB">New Brunswick </option>
                      <option value="NL">Newfoundland and Labrador </option>
                      <option value="NS">Nova Scotia </option>
                      <option value="NT">Northwest Territories </option>
                      <option value="NU">Nunavut </option>
                      <option value="ON">Ontario </option>
                      <option value="PE">Prince Edward Island </option>
                      <option value="QC">Quebec </option>
                      <option value="SK">Saskatchewan </option>
                      <option value="YT">Yukon Territory </option>
                      <option value="Other">Other </option>
                    </select>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row full-width">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement7" class="elq-field-style form-element-layout row full-width">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45578">Address 1 <span class="elq-required">* </span>
              </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <input type="text" class="elq-item-input" name="address1" id="fe45578" value="" style="width:100%;" required="">
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement8" class="elq-field-style form-element-layout row">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45579">Company Website </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <input type="text" class="elq-item-input" name="website" id="fe45579" value="" style="width:100%;">
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement9" class="elq-field-style form-element-layout row">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45580">Company Profile <span class="elq-required">* </span>
              </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <select class="elq-item-select" id="fe45580" name="companyProfile" style="width:100%;" data-value="" required="">
                      <option value="">Select </option>
                      <option value="Public">Public </option>
                      <option value="Partnership">Partnership </option>
                      <option value="Incorporated">Incorporated </option>
                      <option value="Start Up">Start Up </option>
                      <option value="Association">Association </option>
                      <option value="Other">Other </option>
                    </select>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row full-width">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement10" class="elq-field-style form-element-layout row full-width">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45581">What best describes what you would like to learn more about? </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <select class="elq-item-select" id="fe45581" name="learnMore" style="width:100%;" data-value="">
                      <option value="">Select </option>
                      <option value="The overall Change Healthcare solution portfolio">The overall Change Healthcare solution portfolio </option>
                      <option value="A specific solution area">A specific solution area </option>
                      <option value="Partnership programs at Change Healthcare">Partnership programs at Change Healthcare </option>
                      <option value="How to become a Partner">How to become a Partner </option>
                      <option value="Other">Other </option>
                    </select>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row full-width">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement11" class="elq-field-style form-element-layout row full-width">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45582">What type of products or services does your company provide? </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <select class="elq-item-select" id="fe45582" name="productsServices" style="width:100%;" data-value="">
                      <option value="">Select </option>
                      <option value="Clinical Solutions">Clinical Solutions </option>
                      <option value="Rev Cycle Solutions">Rev Cycle Solutions </option>
                      <option value="Ambulatory Solutions (non-acute)">Ambulatory Solutions (non-acute) </option>
                      <option value="Connectivity/Integration Solutions">Connectivity/Integration Solutions </option>
                      <option value="Data Solutions">Data Solutions </option>
                      <option value="Services (Managed, Implementation, Consulting, Education, Hosting, etc)">Services (Managed, Implementation, Consulting, Education, Hosting, etc) </option>
                      <option value="Technical">Technical </option>
                      <option value="EMR/EHR">EMR/EHR </option>
                      <option value="Digital Health">Digital Health </option>
                      <option value="Platform">Platform </option>
                    </select>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row full-width">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement12" class="elq-field-style form-element-layout row full-width">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45583">Type of partnership interest? <span class="elq-required">* </span>
              </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <select class="elq-item-select" id="fe45583" name="typePartnership" style="width:100%;" data-value="" required="">
                      <option value="">Select </option>
                      <option value="API marketplace">API marketplace </option>
                      <option value="Channel">Channel </option>
                      <option value="Data subscription">Data subscription </option>
                      <option value="Technology">Technology </option>
                      <option value="Vendor">Vendor </option>
                    </select>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row full-width">
      <div class="grid-layout-col">
        <div class="layout-col col-sm-12 col-xs-12">
          <div id="formElement13" class="elq-field-style form-element-layout row full-width">
            <div style="text-align:left;" class="col-sm-12 col-xs-12">
              <label class="elq-label " for="fe45584">How would you describe the opportunity for partnership between our two organizations? </label>
            </div>
            <div class="col-sm-12 col-xs-12">
              <div class="row">
                <div class="col-xs-12">
                  <div class="field-control-wrapper">
                    <textarea class="elq-item-textarea" style="width:100%;" name="partnershipOppt" id="fe45584">                    </textarea>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
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                      <option value="Print Capabilities">Print Capabilities </option>
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                      <option value="Quality Solutions">Quality Solutions </option>
                      <option value="Payment Integrity Solutions">Payment Integrity Solutions </option>
                      <option value="Engagement Solutions">Engagement Solutions </option>
                      <option value="Payment Solutions">Payment Solutions </option>
                      <option value="Risk Adjustment Solutions">Risk Adjustment Solutions </option>
                      <option value="Network Solutions">Network Solutions </option>
                      <option value="Consulting">Consulting </option>
                      <option value="Write in/Other">Write in/Other </option>
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                      <option value="No">No </option>
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Text Content

Change Healthcare is now a part of Optum. Learn more here
Search...
 * Why Change
   
   
   OUR MISSION
   
   
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   OUR PLATFORM

 * What We Do
   
   
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   CLINICAL & IMAGING
   
   
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 * Who We Help
   
   
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 * Get in Touch
   
   
   CONTACT
   
   Select a Form
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   First Name *
   
   Last Name *
   
   Business Email: *
   
   Job Function * -- Please Select -- Administrative/Human Resources
   Administrator Billing/Coding Board Member/Director/Trustee Cardiology Care
   Management/Population Health Claims & Denials Consulting Dentistry EDI EHR
   Implementation/Management Engineering/Technical Staff Enrollment Executive
   Finance/Accounting General Management Information Systems/Technology
   Laboratory Legal/Regulatory/Compliance Medical Auditing Medical Practice
   Management Member Engagement Nurse/Nursing Executive Office Manager
   Operations Patient Access Patient Financial Services Pharmacy Physician
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   Management Radiology Revenue Cycle Management Sales/Business
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   Solution of Interest * -- Please Select -- Clinical Decision Support
   Solutions Clinical Interoperability Solutions Consumer Payments &
   Communications Dental Network Solutions Enterprise Imaging Solutions
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   Network Solutions Medical Record Retrieval & Clinical Review Member
   Eligibility & Enrollment Solutions Member Engagement Solutions Patient Access
   & Financial Clearance Solutions Engagement & Experience Patient Experience
   Solutions Payment Accuracy Solutions Pharmacy Benefit Solutions Pharmacy
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   Claims Volume
   
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   Company Type * -- Please Select -- Billing Service Dental Emergency Medical
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   Hospital Laboratory Partner/Reseller Payer Software Vendor Trust Other
   
   Bed Size -- Please Select -- 1-199 200+
   
   Practice Specialty -- Please Select -- Anesthesia Cardiology Emergency
   Medicine Pathology Radiology Other
   
   Number of Covered Lives
   
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   Business Phone *
   
   Country * Please select United States United Kingdom Canada India Netherlands
   Australia South Africa France Germany Singapore Sweden Brazil --------------
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   Comoros Congo Congo, The Dem. Republic Of Cook Islands Costa Rica Côte
   d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica
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   Marino Sao Tome/Principe Saudi Arabia Senegal Serbia and Montenegro
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   Vincent and Grenadines Sudan Suriname Svalbard/Jan Mayen Isls. Swaziland
   Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo
   Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks/Caicos
   Isls. Tuvalu Uganda Ukraine United Arab Emirates United States US Minor
   Outlying Is. Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam
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   Sahara Yemen Zambia Zimbabwe
   
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   Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana
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   Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon
   Pennsylvania Puerto Rico Palau Rhode Island South Carolina South Dakota
   Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin
   West Virginia Wyoming -- Other Locations -- Military Americas Military
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   SPEAK WITH A SALES AGENT
   
   
   
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   IF YOU'RE INTERESTED IN PARTNERING WITH CHANGE HEALTHCARE, PLEASE FILL OUT
   THE FORM BELOW AND WE’LL BE IN TOUCH SOON.
   
   We have a long history of helping clients, customers, and partners navigate
   the changing landscape of healthcare.
   
   First Name *
   
   Last Name *
   
   Email Address *
   
   Business Phone *
   
   Company *
   
   Country *
   Please select United States United Kingdom Canada India Netherlands Australia
   South Africa France Germany Singapore Sweden Brazil --------------
   Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola
   Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia
   Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize
   Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island
   Brazil Brit/Indian Ocean Terr. Brunei Darussalam Bulgaria Burkina Faso
   Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African
   Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia
   Comoros Congo Congo, The Dem. Republic Of Cook Islands Costa Rica Côte
   d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica
   Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea
   Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French
   Guiana French Polynesia French Southern Terr. Gabon Gambia Georgia Germany
   Ghana Gibraltar United Kingdom Greece Greenland Grenada Guadeloupe Guam
   Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDonald Isls. Honduras
   Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy
   Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South)
   Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein
   Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali
   Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico
   Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.
   Mariana Isls. Namibia Nauru Nepal Netherlands Netherlands Antilles New
   Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman
   Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea
   Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion
   Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Samoa San
   Marino Sao Tome/Principe Saudi Arabia Senegal Serbia and Montenegro
   Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands
   Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon St.
   Vincent and Grenadines Sudan Suriname Svalbard/Jan Mayen Isls. Swaziland
   Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo
   Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks/Caicos
   Isls. Tuvalu Uganda Ukraine United Arab Emirates United States US Minor
   Outlying Is. Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam
   Virgin Islands (British) Virgin Islands (U.S.) Wallis/Futuna Isls. Western
   Sahara Yemen Zambia Zimbabwe
   State or Province *
   Please Select... Alaska Alabama Arkansas American Samoa Arizona California
   Colorado Connecticut D.C. Delaware Florida Micronesia Georgia Guam Hawaii
   Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland
   Maine Marshall Islands Michigan Minnesota Missouri Marianas Mississippi
   Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New
   Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Palau
   Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin
   Islands Vermont Washington Wisconsin West Virginia Wyoming -- Other Locations
   -- Military Americas Military Europe/ME/Canada Military Pacific Alberta
   Manitoba British Columbia New Brunswick Newfoundland and Labrador Nova Scotia
   Northwest Territories Nunavut Ontario Prince Edward Island Quebec
   Saskatchewan Yukon Territory Other
   Address 1 *
   
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   What best describes what you would like to learn more about?
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   area Partnership programs at Change Healthcare How to become a Partner Other
   What type of products or services does your company provide?
   Select Clinical Solutions Rev Cycle Solutions Ambulatory Solutions
   (non-acute) Connectivity/Integration Solutions Data Solutions Services
   (Managed, Implementation, Consulting, Education, Hosting, etc) Technical
   EMR/EHR Digital Health Platform
   Type of partnership interest? *
   Select API marketplace Channel Data subscription Technology Vendor
   How would you describe the opportunity for partnership between our two
   organizations?
   
   Who are the targeted end users? *
   Select Hospitals/health systems Dental Physicians Nurses Physician practices
   Exec Technical Administrative Payers Labs Other
   Area of interest for this partnership?
   Select Clinical Orders/Results Clinical Decision Support Consumer Payments
   Coverage Insight Data and Analytics EDI (Claims, Remits, Eligibility, etc)
   Electronic Chart Collaboration Electronic ePrescribing Electronic Prior
   Authorizations Fraud, Waste and Abuse Population Health Print Capabilities
   Revenue Cycle Management Quality Solutions Payment Integrity Solutions
   Engagement Solutions Payment Solutions Risk Adjustment Solutions Network
   Solutions Consulting Write in/Other APIs
   Do you have other business relationships with Change Healthcare? *
   Select Yes No
   Contacted us previously about this partnership inquiry?
   If you have contacted us previously concerning this partnership inquiry,
   include a list of people within Change Healthcare with whom you have already
   been in contact.
   Comments
   
   address2
   
   
   
   
   SPEAK WITH A SALES AGENT
   
   
   
   1-866-817-3813
   
   
   Thank You
    
   
   We appreciate your interest in Change Healthcare. A member of our team will
   contact you to better understand your needs and discuss potential solutions.
    
   
   Together, we are accelerating the journey toward improved lives and healthier
   communities.
   


OUR MISSION

Accelerate the Transformation of Healthcare


OUR PEOPLE

Leaders Inspiring Innovation


OUR PLATFORM

At the Center of the Healthcare Ecosystem


PAYMENTS & REVENUE CYCLE

Optimizing Financial Performance


CLINICAL & IMAGING

Transforming Operational Effectiveness & Care


PATIENT & MEMBER ENGAGEMENT

Enhancing the Healthcare Experience


PAYERS

Helping Create Better Member Experiences


PROVIDERS

Supporting Optimal Patient Care Delivery


THIRD-PARTY ADMINISTRATORS

Streamline Processes for Improved Care Delivery


PHARMACIES

Solutions to Help Streamline Efficiency


PARTNERS

Health Tech Partnership Opportunities


DEVELOPERS

Tools to Make Healthcare Easier


INSIGHTS

Healthcare Insights from Industry Experts


PATIENT IMPACT

Solutions to Help Improve the Patient Experience


MEMBER IMPACT

Solutions to Help Improve Member Experience

--------------------------------------------------------------------------------

View all
Technology Partners
Technology Partners
Join Our Team
Join Our Team
View all
Artificial Intelligence
Artificial Intelligence
Healthcare APIs
Healthcare APIs
Interoperability
Interoperability
Revenue Cycle Management
Revenue Cycle Management
Payment Accuracy
Payment Accuracy
Consumer Payments & Communications
Consumer Payments & Communications
Medical Network
Medical Network
Clinical Decision Support
Clinical Decision Support
Healthcare Data and Analytics
Healthcare Data and Analytics
Dental Network
Dental Network
Provider Payment Management
Provider Payment Management
Value-Based Care
Value-Based Care
Pharmacy Solutions
Pharmacy Solutions
Pharmacy Benefit Solutions
Pharmacy Benefit Solutions
Risk Adjustment & Quality
Risk Adjustment & Quality
Consulting Services
Consulting Services
Clinical Decision Support
Clinical Decision Support
Clinical Interoperability
Clinical Interoperability
Enterprise Imaging
Enterprise Imaging
Medical Record Retrieval & Clinical Review
Medical Record Retrieval & Clinical Review
Healthcare Data and Analytics
Healthcare Data and Analytics
Value-Based Care
Value-Based Care
Risk Adjustment & Quality
Risk Adjustment & Quality
Pharmacy Solutions
Pharmacy Solutions
Pharmacy Benefit Solutions
Pharmacy Benefit Solutions
Consulting Services
Consulting Services
Patient Engagement & Experience
Patient Engagement & Experience
Member Engagement & Experience
Member Engagement & Experience
Consumer Payments & Communications
Consumer Payments & Communications
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WHO WE HELP

 * 01/04
   
   
   PROVIDERS
   
   Our advanced technology and services help providers enhance patient
   engagement and access, improve outcomes, drive revenue performance, and
   improve operational efficiency.
   
   
   See how
 * 02/04
   
   
   PAYERS
   
   Our advanced technology solutions and services help payers achieve their
   priorities across the member journey.
   
   See how
 * 03/04
   
   
   PARTNERS
   
   Our advanced technology solutions empower our partners to achieve their
   strategic business objectives and meet their customers’ needs.
   
   See how
 * 04/04
   
   
   PATIENTS
   
   Our solutions streamline the engagement, care, and payment experience to
   improve the patient journey.
   
   
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A TRUSTED PARTNERFOR ORGANIZATIONS COMMITTED TO IMPROVING THE HEALTHCARE SYSTEM
THROUGH TECHNOLOGY


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15 billion

Healthcare transactions completed annually

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