Improve Claims Payment Integrity and Reduce Provider Burnout
Why Is Accurate Provider Claims Payment Difficult for Healthcare Payers? Claims processing for payers is a complex process with combination of value based and fee for service models, market expansions, and acquisitions. This process also often requires multiple disparate systems. After layering on the constant changes to provider data and the process to onboard, credential, […]
How Payers and Health Plans Optimize Performance with Provider Lifecycle Management
Finding a complete provider lifecycle management system, as a payer, involves not only the right technology but also dedicating the right resources to the performance of the network for provider outreach and onboarding, credentialing, contracting and ongoing data maintenance for the provider directories. By using a Provider Lifecycle Management (PLM) solution, your organization can better […]
Why Do Payers and Health Plans Need a Provider Portal?
The process of onboarding and supporting providers in your network is becoming more complicated than ever before. With the recent CMS mandates around provider directory data, the old processes for onboarding, credentialing and contracting with your providers will not be enough to meet new data accuracy challenges. More importantly, providing a seamless and easy experience […]