Change Healthcare (Optum) review

One of the largest US clearinghouses, with a 2024 outage on its record.

Verdict

Change Healthcare ranks sixth on the strength of one of the largest payer networks in the country, processing billions of transactions a year. Now under Optum, it remains a workhorse clearinghouse, though the 2024 ransomware outage is a real reliability mark against it that buyers should factor in.

What customers praise

Sheer payer reach means most claims can be submitted electronically, and its coding and payment-integrity tools are mature from decades of scale.

What customers criticise

The February 2024 ransomware attack halted claims nationwide for weeks; the platform recovered, but concentration and reliability risk are now part of the buying calculus.

Best for

Organizations that need a very large clearinghouse with broad payer reach and are comfortable operating inside the Optum ecosystem.

At a glance

• Integrations: Epic, Oracle Health, athenahealth, NextGen Healthcare, eClinicalWorks
• Compliance: HIPAA, SOC 2 Type II, HITRUST CSF
• Regions served: North America
• Typical onboarding: 60 days

Red flags

Public risk signals as of July 2026: low. Recovered from a major 2024 ransomware outage; buyers weigh concentration risk under Optum. See the full red-flag report.

Alternatives

See alternatives to Change Healthcare (Optum), or compare against the next-ranked entry: Change Healthcare (Optum) vs NextGen Healthcare.

Source: Top 11 The 11 Best Revenue Cycle Management Software (2026), verified July 12, 2026 — no paid placement.