VerifyHCP® provides a systematic approach to provider data and directory management. Using machine learning, the industry’s leading source of provider information and more than a decade of data management and stewardship experience, this provider directory solution goes beyond regulatory requirements as they relate to maintaining the accuracy of published directories.
The VerifyHCP® solution is a hosted, crowd-sourced, real-time data management and analysis solution that optimizes data insights for payers. The benefits of using this platform is speed, scale and maturity of the infrastructure leveraged. VerifyHCP® provides data exchange standards to enable seamless storage and management of your provider network information securely in the LexisNexis environment. At its core, is the VerifyHCP® portal. The portal allows practices and office managers to easily attest and engage in the provider data management workflow.
LexisNexis® Master Referential Database
VerifyHCP® leverages >1,000 sources to build an accurate view of a provider. This view covers more than 8.5M providers.
The portal enables practice managers or designated staff to attest physician data. It can also be optimized for use with large groups.
VerifyHCP® uses machine learning to analyze claims activity to identify active and inactive locations and group affiliations. Client may also contribute their claims to facilitate final determination of action to take on non-responders.
Customers can conduct campaign outreach in accordance with provider directory regulations or based on alerts from VerifyHCP® claims-based analytics. VerifyHCP® also fulfills the provider attestation needs through a hosted portal with prepopulated information.
VerifyHCP® facilitates compliance but more importantly provides a comprehensive approach to managing the ever changing world of provider data. VerifyHCP® is a central and critical component to any provider data management strategy enabling provider enrollment and credentialing; network adequacy and compliance.
The LexisNexis referential database allows customers to validate roster information, and surface critical insights surrounding affiliations and implications to network adequacy. This solution can also identify inactive providers and locations without the need for outreach, resulting in an immediate 10-20% improvement in provider directory accuracy. It can confirm basic provider demographics of status, address and phone even for difficult-to-reach provider populations, such as delegated groups.
In this evolving environment, payers need support to stay compliant. Partner with LexisNexis Health Care today to solve your provider data and directory challenges.