Oracle Health Quality Management for Payers Release 1

The updates below are available with the Oracle Health Quality Management for Payers October 2025 release.

Solution Change Component, Description, and UI Impact Reference Materials Validation Guidelines Implementation and Maintenance Impact
Quality and Coding Gap Exchange Component: Oracle Health Quality Management for Payers

Payers now can send payer-generated risk coding and quality gaps to Oracle's provider network at the point of care. This update establishes a secure channel for payers to transmit real-time, patient-specific coding, and quality gap data directly to provider health systems.

UI Impact: None
Not applicable No validation testing is provided because the solution change contains updates to system processes that support front-end functionality and that cannot be tested directly. This solution change is associated with a solution change for the front-end functionality, which includes the certification guidelines necessary to test the functionality. As part of your regression testing, ensure that your system is working as expected. Implementation Impact: None

Maintenance Impact: None