Primary Source Validation, With a Difference
With PRIME, your provider data will benefit from state-of-the-art technology combined with a proven direct, primary source data validation and attestation approach that results in the most accurate provider data in the industry.
Dynamic market forces are making the collection, validation and management of provider data more difficult than ever before, challenging operational efforts and costs, and increasing compliance risk. Automated data aggregating and self-update cleansing services can’t close the data accuracy gap timely and completely.
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, ensuring your plan provider data stay in compliance with federal and state regulatory requirements resulting in accurate provider directories.
Your Providers. Direct. Proactive. Authenticated. Auditable.
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.
Members are likely to recommend health plans that have accurate provider directory data to others
The PRIME difference
PRIME reaches out to providers directly to validate their data.
Our automated solution can scale to customer needs
Flexible data collection and validation capabilities to meet your requirements
Deep health plan expertise and focus
US-based experienced staff conducts tele-outreach
Extensive, ongoing training and assessment procedures
Full archive of engagement for QA and audit
Cost-effective results with guaranteed accuracy and quality levels