PRIME® Healthcare Provider Data Validation
por Atlas Systems
Many health insurance plans and health systems struggle to keep provider directories accurate and up
Through PRIME®, Atlas Systems leverages its extensive knowledge of databases and platforms to take on this difficult but all-important assignment. PRIME® works closely with IT, Provider Ops, Member Experience and Compliance teams of Payors to deliver a real-time view of your trends in provider data accuracy that is accessible on demand through a customizable dashboard. Embedding these services in Azure platforms and services, Atlas works as a seamless extension of both payor and provider teams, ensuring regulatory compliance and great member experiences.
What We Offer
First-person data validation: Atlas reaches out directly to health systems and providers to confirm dozens of crucial data points – from locations to specialties to languages spoken. We tailor our validation to your most significant challenge areas, delivering up-to-the-minute information directly to your database and through our intuitive online dashboard.
Ongoing directory monitoring: Through PRIME, Atlas offers regular refreshing of your provider information, assuring that it remains compliant with federal and local regulations – and delivers reliable information to members. We capture such important milestones as expired licenses and registrations, sanctions, and deceased providers.
Real-time data access: Clients can view their latest PRIME data on demand through our intuitive online dashboard. Customized to client needs, the dashboard delivers a real-time view of accuracy levels from many perspectives, as well as updates on how the validation project itself is proceeding. Our platform is also fully FHIR-compatible.
Deliverables:
- First-person validation of provider directory database
- Ongoing monitoring of directory accuracy
- Online customized dashboard