Health Plan Provider Data Validation

Updated network data = Happy members

PRIME is the synthesis of information technology and highly trained staff with expertise conducting health plan provider outreach. Our direct, primary source data validation and attestation approach is the most effective way to achieve the highest accuracy levels.

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

PRIME ensures your plan provider directories stay in compliance with federal and state regulatory requirements resulting in accurate provider directories that ensure your customers stay happy with the products and services offered by your plan.

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 data enrichment, full performance assessment, audit, and compliance monitoring capabilities.

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People

Effective outreach requires skilled staff that understand your business priorities & 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.

Success stories