The Virsys12 Provider Data Engine (V12 PDE) is V12 Provider Data Engine (PDE) revolutionizes healthcare provider data management by seamlessly integrating and validating data from industry-leading sources against your source of truth records in V12 Network.
Transform Your Provider Data Management with V12 PDE
The Industry’s Only Intelligent Provider Data Engine That:
Exclusive Automated Intelligence:
Key Differentiators:
Benefits:
Stop managing provider data manually. Let V12 PDE’s intelligent automation ensure your organization always has the most accurate and current provider information available.
National Plan and Provider Enumeration System (NPPES)
CAQH ProView
In this demo of V12 PDE you will be introduced to our robust solution for precise Healthcare Data Management.
Explore the capabilities of our platform that consolidates internal and external provider data sources, including CMS data and CAQH ProView.
With pre-mapped connectors and tested processes, V12 PDE caters to Managed Care Organizations, Integrated Physician Networks, Accountable Care Organizations (MCOs, IPNs, ACOs), Health Systems and many other health-oriented businesses.
Organizations need flexibility and speed to market, V12 PDE is your answer!
Custom API-based integrations and ongoing data file transfers are also available in the V12 Provider Data Engine application.
Common additional data source integrations include:
Stay up to date on provider demographic and network data changes based upon your preferences. The V12 Provider Data Engine application puts the power back in your hands and gives you the ability to decide which data sources are most accurate in specific scenarios. The end result: a highly customized provider directory “engine” capable of weighting data based upon your workflow logic and scoring domains. At Virsys12, we believe tools like the V12 PDE solution will help payers and providers alike adhere to ever changing provider data accuracy mandates such as the CAA.
Data Age
Source System Trust
Completeness of Data
Data Derivation
Data Consensus
Detail Significance
Provider directory maintenance is not always black and white. With the V12 PDE application, you get to decide between a fully automated solution and certain outlier scenarios that may require internal review or an approval process. Both approaches are accounted for and encouraged by our users. The V12 Provider Data Engine application features a Salesforce user interface component to quickly make provider data update decisions in a queue-based fashion with the option to trigger approval cases for further review. Irrespective of the approach, the V12 PDE application is designed to reduce manual input and improve provider data accuracy with automated workflows, all while keeping the provider directory as accurate as possible.
Improperly-paid claims
Claims adjustments
Lengthy, expensive recoupment
OIG exclusions go unchecked
Non-compliance
Costly fines up to $25k/incident
Perceived as deception
Non-compliance
Costly fines
Disconnected provider data
Inability to manage costs narrow
Ready to learn more about V12 PDE? The breadth and functionality of V12 PDE spans far beyond one page of information, but this quick, in-depth overview will help you start digging in.
Whether you have a few quick questions, want a full demo of V12 PDE or find yourself somewhere in between, we’re here to help.
Can’t wait? Call us at (615) 800-6768.
Virsys12
278 Franklin Road, Suite 300
Four CityPark
Brentwood, TN 37027
solutions@virsys12.com
