Simplify data management
Say goodbye to juggling multiple spreadsheets and paperwork & custom data transmissions. Our software consolidates all your provider demographic data into a single, user friendly platform. Reduce manual input and human error with our intelligent data capture technology. We also track important changes such as sanctions, specialty switches, and retirements.
Key Benefits:
- Support for data input and output in any format, layout, and ingestion method
- Centralized provider data management platform
- Automated data entry
- FHIR monitoring services
Accelerate submission processes
Our system automates the submission process to all payors, reducing the time spent on data entry, custom formats, and approvals. Ensure accuracy with built in consistency checks that identify errors before submission. Through the interoperable PRIME platform, health plans can be updated in real time, allowing members access to the latest information for their care decisions.
Key Benefits:
- Streamlined workflows
- Real-time submission and validation
- Automated data validation and processing engine
Boost compliance and transparency
Stay compliant with the latest healthcare regulations and standards with automated updates and compliance checks. Monitor Provider and Payor performance & track cycles through robust reporting and dashboards. Maintain a comprehensive history of data changes and submissions for easy auditing and tracking.
Key Benefits:
- Regulatory adherence
- Robust reporting and dashboards
- Audit trails
Enhance collaboration
Our payor roster reconciliation & monitoring service automates periodic roster reconciliation between health plans and provider groups. Facilitate seamless collaboration among your team members with real time data access and shared workflows. Communicate within the platform using work queue management to address issues swiftly and keep everyone on the same page.
Key Benefits:
- Payer roster reconciliation
- Team access
- Integrated communication