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Provider Lifecycle Management

The Atlas Difference

Health plans often do not have the resources to manage the end-to-end lifecycles of their providers while juggling day-to-day operations. Provider groups and health systems also struggle to meet the demands of multiple health plan partnerships – each with their own requirements - and to keep payment cycles and other processes on schedule.

PRIME® by Atlas Systems solves the provider lifecycle challenge with a rigorous, proven approach that incorporates provider data validation and management, ongoing monitoring, credentialing, and more. Our goals: To drive compliance, efficiency, and improved member satisfaction.

To further ease the burden of provider lifecycle management on providers and health systems, we’ve created a FHIR-compatible platform for data exchange: Provider-Payer Connect. This simple yet powerful tool supports data input and output in any format and layout required by health plans.

Atlas can also prepare you to meet CMS’s new wait-time requirements, drawing on our years of secret shopper studies on behalf of payers. We can provide ongoing monitoring of your provider credentials and other key information, and we offer a turnkey solution to producing ADA-compliant PDF or printed directories.

What we do

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PRIME works closely with payer teams, leveraging a best-in-class approach to data updates and management.

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Our innovative platform allows data to flow seamlessly from provider to payer, meeting all formatting and interoperability requirements

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Health payers and provider groups can leverage Atlas’s 20-plus years of tech and IT knowledge

Provider Data Validation

PRIME works closely with payer teams, leveraging a best-in-class approach to data updates and management.

Provider-Payer Connect

Our innovative platform allows data to flow seamlessly from provider to payer, meeting all formatting and interoperability requirements

Other solutions for payers & health systems

Health payers and provider groups can leverage Atlas’s 20-plus years of tech and IT knowledge

PRIME® Success Story

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Key New York health plan relies on PRIME to manage provider data quality
A leading New York-based provider of primary and specialty care and wellness solutions to millions of people in the New York area needed help managing its health provider directory. Atlas PRIME delivered a combination of technological innovation and strategically grounded expertise, as well as highly trained staff to conduct direct provider outreach. The result: Verified provider data with completeness, timeliness, and quality.

What our clients say

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“We have used PRIME to validate our provider data and the accuracy level has moved up to 98%, which is unheard of. The biggest differentiator in PRIME is their primary data verification model, which means they reach out to every single provider.”

Provider Data Quality Leader

Large US Health Plan

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