athenaPayer® solutions


Reduce costs and improve clinical efficiency with data exchange that surfaces current member information within standard workflows.

Clinical data exchange the way it should be

Providers rely on having the most up-to-date patient information available when delivering care. athenaPayer solutions integrate current clinical data into your members’ records while surfacing relevant information in the moment of care. By identifying potential diagnosis and care gaps, athenaPayer solutions can help increase clinical efficiency and improve patient outcomes.

Surfacing clinical information that can improve care


Diagnosis Gaps

Surface clinically verified and clinically inferred conditions within standard workflows in the moment of care. Diagnosis Gaps presented within our EHR can help reduce administrative burden for payers and providers and help improve condition documentation accuracy.


Care Gaps

Help ensure your members receive the care they need by giving providers the necessary data to identify care gaps during encounters. Care Gaps can help drive higher Star ratings and HEDIS performance.


Provider Network Directory

Get support that helps ease specialty referral, lab and imaging ordering processes, and connects members with nearby, in-network quality providers. The Provider Network Directory sources network status and other provider designations directly from payers and surfaces them in the moment of care.


Appointment Notifications

Enhance payer, provider, and patient alignment on appointments with real-time updates. Appointment Notifications informs you when a member schedules, reschedules, cancels, or is a no-show for an appointment.


Health Plan Data Exchange

Spend less time chart chasing while enabling better care for your members. HPDE gives a 360-degree view of your members’ clinical data at scale, without the cost and burden of manual chart pulls and data entry.

Data integration that makes a difference

See how athenaPayer services integrate your members’ clinical data to help providers offer better-informed care and meet quality program goals.

Helping you partner with providers

Hear our chief product officer discuss how athenaPayer services make it possible to collaborate with providers in the moment of care.