Why PRIME?

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.

Challenge

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.

Solution

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.

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Members are likely to recommend health plans that have accurate provider directory data to others

The PRIME difference
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Primary

PRIME reaches out to providers directly to validate their data.

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Scalable

Our automated solution can scale to customer needs

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Flexible

Flexible data collection and validation capabilities to meet your requirements

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Expertise

Deep health plan expertise and focus

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People

US-based experienced staff conducts tele-outreach

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Training

Extensive, ongoing training and assessment procedures

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Quality

Full archive of engagement for QA and audit

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Value

Cost-effective results with guaranteed accuracy and quality levels