One thing that healthcare has an abundance of data… tons of datea. It seems as though every time you make any change to your provider network data a new form is required. And they payer may ask you to fill out the same stack of forms again and again and again. It isn’t their fault, they have siloed systems and data and the departments don’t communicate with each other. Fear not, Virsys12 has solutions to help automate the redundant cycle of provider data management
Technology now exist and has the ability change the way patient data is stored and processed. This software enables payers to streamline the processing of provider documentation required for enrolling and credentialing providers in a network and can maintain the most accurate and up-to-date information in their providers.
Payers and health plans also process many updates to data elements from healthcare organizations, ancillary and provider groups, and practitioners when setting up and maintaining new and existing provider networks and provider directories as required by CMS mandates.
Having an credentialing system is great, but as a stand alone solution, it doesn’t have the same power as a robust enterprise provider lifecycle and provider data management solution. That is why, as a health system or payer, having a healthcare solution to manage all aspects of a provider group, ancillary group and their individual practitioners, such as their demographic information, licenses, certifications, practicing locations and other relevant data to help them join the network, is crucial to improving efficiencies and reducing cost.
As a payer, engaging with your provider through the entire provider life cycle – from onboarding to credentialing to contracting – is key to meeting regulatory requirements for provider network management, provider directory, and delivering excellent customer service. Utilizing an enterprise PLM solution to store all the data gathered about a practitioner and their practice can assist you in completing the provider profile for the directory, setup for claims payment, and equip you in your goals and responsibilities throughout the entire provider life cycle.
Technology is constantly changing the way we interact with each other. Healthcare consumers expect the same level of support and communication with their healthcare as they get with Facebook, Amazon, or Apple.
Virsys12 can help your organization take advantage of the opportunities for provider network and provider data success. We know healthcare, and we have a proven track record of helping organizations like yours transform their provider network management workflow and provider experience with technology.
If you’d like to learn more about V12 Network, send us a message! We’d love to hear from you.