Unmatched success rate
We offer convenient, user-friendly attestation channels - including a state-of-the-art self-service portal - achieving success rates of 95% in validating provider data.
Key Benefits:
- Provider data validation at the source
- Less than one month of implementation to go-live
- Full audit transparency
- Intuitive, browser-based dashboard with near real-time results
- AI-powered tools
Self-service validation
Our new Self-Service Portal (SSP) makes it much easier for providers to double-check and correct their own data. The intuitive platform can condense hundreds of columns of data into just a few, making updates simple and straightforward, and also allow optimized views of providers’ data.
The SSP dramatically eases the providers’ burden while making our own systems more efficient – a remarkable step forward in low-friction provider data collection. Its format is reminiscent of an Excel spreadsheet, which customers find intuitive to use, and the technology in the background allows us to embed business rules that can mitigate the risk of error and oversight.
Key Benefits:
- Reduce provider abrasion
- Improve self-service validation speed
- Eliminate errors from manual spreadsheets
AI-powered dashboard
Our intuitive, browser-based dashboard provides an all-in-one window into your findings and attestation progress in near real-time. You can also use our AI-driven Ask PRIME feature to ask almost any question that you would like to answer from your data – with answers arriving in seconds!
Key Benefits:
- Customized dashboard for near real-time results
- AI-powered tools to help you achieve more insights with less digging
CMS Appointment Wait Time compliance
For health plans with products on the federal exchange, the Center for Medicare and Medicaid Services (CMS) will require plans to conduct annual ‘secret shopper’ surveys to measure and document appointment wait times for various products and markets in their network starting in January 2025. Participating health plans are required to achieve a 90% compliance rate and this process cannot be done in-house, but by an independent third-party partner not affiliated with the health plan.
This requirement presents at least two potential benefits to the plan. First, it can serve as a useful audit of your network --one that allows you to check your directory accuracy with a small but statistically valid sample. Second, with some design creativity and the addition of a few well-structured questions, this survey process could contribute meaningfully to the health plan’s NCQA accreditation efforts.
Key Benefits:
- Over 12 years of experience conducting secret shopper surveys on behalf of health plans
- Includes full statistical analysis and reporting
- Ensure compliance with an end-to-end solution