Healthcare Claims Management Health Plan Administration

Provider Data Management

Accurate provider directories for a real-time single source of truth

Medical Bill Review

Vital healthcare data, always up to date

Unreliable provider directories can inconvenience members, impact access to care and increase costs. But maintaining up to date directories can be a manual, time consuming process. With powerful automation, analytics and AI, our Provider Data Management solution can transform your missing, duplicate, and inaccurate data into a comprehensive, quality-driven provider directory.

  • Enhance accuracy

    Eliminate errors with the power of AI, analytics, and omnichannel outreach

  • Improve agility

    Streamline workflows and stay in compliance with government regulations

  • Lower costs

    Reduce manual processes and save time with automation tools

Conduent 2023 State of Experience in the New World of Work Report

Provider Data Management improves accuracy for more satisfied members

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45%
of provider directory locations listed in online directories are found to be inaccurate
$1.1B
is the estimated cost savings of using a single provider platform directory for information
416hrs
per staff member a year is the average time used on manual directory maintenance
web-graphic-provider-data-management

An integrated, highly configurable solution

Our Provider Data Management solution can be integrated into workflows for everything from enrollment, core administrative processing, care management, member portal, and more. Automating the organization of data and enhancing access can mean faster, more accurate care coordination.

Provider Data Management benefits

  • Reduce provider abrasion

  • Increase member engagement

  • Get updates in real time

  • Improve claim auto-adjudication rates

  • Comply with No Surprises and Consolidated Appropriations Acts

  • Avoid cost associated with claims fallout

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