Provider Data Validation
Relieving the burden of keeping your provider information accurate
The Atlas Difference
Keeping provider data and directories up to date is a huge task – one that few payers have time or resources to manage. And failure to remain compliant with Federal and local regulations can have huge consequences: fines, brand damage, and poor member experiences.
Atlas’ PRIME solves this problem with a gold-standard system grounded in direct outreach to contracted health systems, provider groups, and individual practitioners. We offer convenient, user-friendly validation channels - including a state-of-the-art self-service portal - achieving success rates of 95% in confirming provider data.
PRIME payer clients utilize an intuitive, browser-based dashboard to get an all-in-one window into their findings and attestation progress. Our AI-driven Ask PRIME engine lets clients explore and analyze provider data from almost any perspective – with answers arriving in seconds!
Atlas is also perfectly positioned to help payers meet CMS's stringent new wait-time requirements, which demand that health plans engage a third-party firm to conduct secret shopper studies on the actual availability of listed providers for appointments.
Problems Atlas solves
Shift into high gear quickly
Go live in our system within 1 month of signing on for PRIME
Stay compliant with Federal (CMS) standards
We cover state regulatory compliance such as CA SB137, as well as the No Surprises Act and new CMS wait-time requirements
Make updating quick and easy for providers
We offer user-friendly options - including a state-of-the-art self-service portal - for collecting the latest data from providers
Remain FHIR compatible
We facilitate seamless integration and data exchange
Achieve full audit transparency
Atlas makes this happen as your data is updated