Solves Key Challenges in Healthcare Data
Compliance and Litigation Risks
Inaccurate provider data may cause monetary penalties. ProviderIQ™ is a new approach to managing provider directories and other provider data requirements that help meet federal and state compliance guidelines.
Providers are not correctly matched to products/plans. ProviderIQ™ accurately matches providers to the right products and plans. As a result, members no longer have trouble finding in-network providers.
Most organizations have multiple databases that are not connected (credentialing, claims, provider data, etc.) and do not easily share data. This complexity adds more risk to the data verifications process. ProviderIQ™ is the first solution that automates the provider verifications process and centralizes accurate provider data in one system.
Provider Data Changes Rapidly
At any given time, approximately 40% of provider records are inaccurate and outdated. Our web-based technology and class-leading outreach team enables us to capture internal client data, self-reported data (CAQH or other electronic applications), and
to verify and continuously monitor that information against primary and secondary data sources.