Understanding the Provider Data Management Lifecycle
Provider data quality impacts almost all aspects of a healthcare payer’s business operations. Despite investing significant time and effort, health plans struggle to maintain high-quality provider data across siloed systems.
Inaccurate provider data gives rise to significant administrative overhead through re-keying, lower auto-adjudication rates, increased call center volume, and even regulatory fines.
The Provider Data Management Lifecycle whitepaper explains the shortcomings of traditional provider data management and what to look for in a modern provider data management solution when, improving business processes and outcomes.
What’s inside:
- The provider data management lifecycle
- Integrations landscape ( LexisNexis, NPPES, CAQH, Credentialing, Claims, Attestation, Provider Roster Groups, etc.)
- Gaps in provider data management which lead to issues
- Benefits of a true provider system-of-record
- Best practices in provider data management
- Key capabilities of a Provider Master Data Hub