Provider Directory Validaion
The easiest and most cost-effective way for health insurers to keep their provider directories accurate and in compliance.
Challenge
Maintaining provider directories takes many man hours at a health insurance plan, and providers don’t always notify insurers when they stop practicing at a specific clinic. Regulations for No Surprises Act and servicing government contracts like Medicare Advantage and Medicaid require frequent validation checks up to every 90 days with quick turnaround to input new directory information. How can you keep your provider data accurate and updated with ease?
Solution
Our affordable, full-service Provider Directory Validation offers health plans the timely, accurate provider directory data they need. Let HealthLink Dimensions do the heavy lifting for you. Using our 3-Pass method of digital verifications using Big Data, provider notificatios with self-attestation on our web portal, and our live research center, HealthLink will validate every record in your provider directory. With our APIs and file exchanges that configure to your IT requirements, it easily integrates with payer systems and provider databases to keep directories correct and in compliance.
