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.



How Prime works

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.


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.


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.


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