Meet compliance and your business objectives with real-time data.
ProviderIQ™ / Provider Directory Solution
Meet compliance and your business objectives with real-time data.
Whether your organization offers commercial or Medicare/Medicaid health plans, ProviderIQ™ Provider Directory Solution ensures your members 95% provider data accuracy.
ProviderIQ™
Provider Directory Solution
- Real-time provider directory updates
- Automates data collection and the verification of provider data against primary and secondary sources
- A co-branded interface where providers can update their information: demographic, specialty, affiliations, languages spoken and other requirements
- Pre-populates data from CAQH or from your internal databases
- Enables you to determine the data elements you would like verified and how often
- Matches products/plans to the appropriate provider
- Produces corresponding date-stamped images for each verification completed
- Monthly Medicare reconciliation, matching Medicare ID numbers including opt-in/opt-out
- Meets state and federal provider directory compliance standards, such as CFR 422.111(b)(3)(i) and 422.112 (a)(1)
- Increases member and provider satisfaction
- Rapid implementation
Case Study:
An existing client entered a new market and tasked Medversant to cleanse and improve their provider data for 100,000 providers.
Medversant was able to:
- Significantly increase quality and quantity of accurate data points;
- Discover 20% additional provider data;
- And dramatically increase the percentage of verified information in record time.
Get started. Schedule a demo.
Submit the form below or call us at 213.433.3377