Health Plan Data Quality Remediation

Provider Data Remediation 
Make immediate strides in your data quality & accuracy

Health plans face enormous scrutiny from federal and state and regulators. Failure to achieve compliance can result in unexpected expenses, reputational exposure as well as a loss in member satisfaction and enrollment. 

At any given time, 30%-40% of records in your provider directory have data changes that need to be processed. When you only rely on providers, large groups and health systems to perform self-updates, your provider directory data quality is adversely affected.

PRIME directly contacts and interacts with provider offices, groups, & health systems to collect and authenticate the provider data required by your plan and important to your members.

If you're facing a regulatory challenge, contact us today. Our resources will work with your team to develop a comprehensive action plan to address your provider data quality and accuracy needs.

PRIME works under an outcome-based pricing model, ensuring your organization is paying for results. Our solution addresses your data quality challenges; reduces administrative expense and disruption in your organization; integrates with provider data management systems; and offers EHR and File process connectors to integrate with your larger provider groups and health systems.

 

 

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How Prime works
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Process

PRIME uses a rigorous, detailed methodology to conduct provider outreach, engagement, and authentication. The result is a superior, highly customized experience that ensures the most accurate data in the industry.

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Technology

Data collection is only part of the solution. The PRIME platform provides automated analysis and full archival capability, enabling full performance assessment, audit, and compliance monitoring capabilities.

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People

Effective outreach requires skilled, experienced staff that understand the workflow, contact challenges and idiosyncrasies that range from individual providers to multi-site health systems. The PRIME provider team is trained, experienced and motivated to deliver a timely, high-quality result.

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The PRIME platform enables easy self-updation by providers. Click here to go to the provider self-update portal.