Healthcare

Provider data management


Ensure data quality, avoid penalties, and contain your costs

It’s critical that your provider data is correct and up to date.

Federal and state agencies

Penalize health plans severely for poor provider data management

Members

Complain, generate unexpected costs, and even file lawsuits

At the same time, getting the latest information on your provider network has never been more challenging. Health systems are continuing to consolidate, increasing the affiliations between physicians and practices. Many doctors are also experiencing fatigue from constant payer data requests – and resistant to new tools, preferring phone and yes, fax machines.

How to ensure quality provider data

We provide expert guidance for health plans and a complete set of services and solutions.

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PROCESSING PROVIDER DATA UPDATES

From multiple sources along with verification outreach

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CREDENTIALING AND
RECREDENTIALING

All processing and provider outreach work

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PLATFORM EXPERIENCE

CAQH, Cactus, Facets, and more integrate with our CRM-based Provider Forward tool

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NEARSHORE AND
OFFSHORE

Services provided from locations worldwide

HGS Healthcare Technology solutions

Provider data management and intelligent automation

PROVIDER FORWARD

A customer relationship management (CRM) app designed specifically for managing a master provider data record

INTAKE PROCESSOR AND INTEGRATION HUB

Components and robotic process automation (RPA) platforms to automate data intake into the CRM system

Simple and intuitive dashboard

Manage your workflow in your customer relationship management (CRM) system.

Provider Data Dashboard

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