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Watch as the V12 Roster Import tool effortlessly processes a delegate roster file, automatically parsing data and creating provider data records based on customizable business rule logic.
Streamline collaboration, enable ongoing monitoring of provider data changes, and facilitate comprehensive tracking for auditing and downstream system updates in organizations.
Track Tax IDs and NPIs at different levels in provider networks and contracts, navigate provider hierarchy, and optimize the visualization of billing and organizational IDs for claims processing.
For most organizations, network development begins with a deep understanding of your existing provider networks. And while network adequacy methods are often utilized as part of this process, they are not a “be all, end all” solution. The ability to track many-to-many relationships in complex provider networks can be critical to the execution of a new network. With V12 Network Builder, existing provider networks can be leveraged as a starting point for network development, followed by advanced modeling capabilities for your most complicated network arrangements.
Automate provider outreach and lead management efforts, understand how incorporating provider leads into campaigns reduces manual efforts, and streamline data entry for building new provider networks and markets.
Compare data fields, choose fields for provider/practitioner profile records, and maintain data synchronization between CAQH Compare and V12 Network.
Communicate with providers on a unified platform, view the online provider “join the network” application process, and understand how seamless collaboration with providers enhances the efficiency of provider networks.
Streamline credentialing through team collaboration, explore customizable dashboards for efficient workflow navigation, and learn how customizable stages and processes can be configured for in-house.
View an out-of-the-box process for reviewing provider application data, simplify OIG and exclusion checks through integration with ProviderTrust, and how automation in V12 Network can save thousands of manual work related to processing provider applications.
Track practitioners based on their practice locations, taxonomy, specialty, and network affiliation, perform real-time OIG status checks, and understand the value of seamless collaboration and information access.
Track diverse network agreements, whether by practicing locations or at a group level, accommodate various provider payment arrangements and methodologies, including special program participation.
Let’s face it, provider directory maintenance is a moving target. Evolving legislation and new regulatory requirements for payers and providers make this work extremely nuanced. Regardless of where your organization may be relative to regulatory requirements like REAL, CAA, or the “No Surprises Act”, one thing is certain: The ability to know who you should (or should not) have in your provider network will not change. With V12 Network Manager, directory compliance has never been easier!
Explore out-of-the-box reports and dashboards for verifying accuracy in provider network management, enable actionable steps through detailed insights, and learn how to leverage dashboards and automation to reallocate work assignments and remove roadblocks.
Check out the latest provider MDM functionality with the V12 Provider Data Engine. Unlock a world of new potential in managing data updates through a prescriptive queue based user interface, complete with backend source configuration capabilities from your favorite provider data applications.
We get it. Provider networks are complicated. Patient / member expectations are at an all-time high and providers have more options than ever. So how do you execute on your perfectly curated provider network? We believe the answer is utilizing great network adequacy tool and a secret weapon… the V12 Provider Data Engine.
Ready to transform your business? We can help.
How can we support your goals?
Virsys12
278 Franklin Road, Suite 300
Four CityPark
Brentwood, TN 37027
solutions@virsys12.com
