Provider Data Validation

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

Contact Us

Connect with Atlas to solve your key business problems around provider data and directories.