Understand Providers with
Unprecedented Precision

Verify and augment provider files and visualize affiliations, while improving your workflow.

Provider Data Management and Services

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Providers and clinicians are at the heart of the healthcare ecosystem.

As a result, healthcare plans need access to current, comprehensive and accurate information for those responsible for treating their members. From sanction data, to accurate contact information to affiliations, provider data feeds critical work streams that impact cost, quality and access.

Ensure the integrity of your provider data

View comprehensive provider demographic information with thorough record validation and proactive monitoring.

Maintain directory accuracy

Keep published directories up to date and be responsive to federal and state regulatory attestation mandates.

Standardize, cleanse and augment provider information

Process claims more easily and efficiently.

Extract predictive insights from claims data

Answer critical questions, uncover opportunities for cost savings, and improve efficiency and compliance.

Get real-time access to provider information

Quickly validate new providers, healthcare organizations and affiliations to help claim/service operations.

Receive reliable point-in-time provider data

Work more efficiently with the latest information for millions of healthcare providers.

Insights and Resources

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Blue Plan Yields 76% Error Reduction in Provider Data Using ProviderPoint®

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Consortium Plan Case Study

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Physician Survey Reveals Need for Physicians and Health Plans to Work Together to Ensure Better Network Directory Accuracy

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to manage risk & uncover opportunity.