Streamlining Provider Data Management Could Save Billions…but Is It Possible?
2.14.2017 By HEALTH PLAN WEEK
For health insurance companies, an accurate, easy-to-update standardized database for network provider data is the Holy Grail. Along with being a major source of frustration for members, inaccurate provider information negatively impacts claims processing, provider credentialing and the ability to ensure compliance with network adequacy rules. It also can create obstacles for providers that want to create a value-based benefit approach.