MasterFile Individuals
Provider data changes frequently and unexpectedly.
From addresses and phone numbers to credentialing information, healthcare provider data is constantly changing. Keeping the data up-to-date is difficult and costly. Providers tend to be remiss about updating their profile information with their affiliated hospitals, group practices, government agencies and trading partners. Inaccurate provider data disrupts coordination of care, puts organizations at risk for inappropriate access to protected health information, and substantially raises the cost of doing business because it results in increased manual labor to remediate data errors, mailing misdirections, fiscal penalties and inaccurate payments to providers.
Drive operational excellence across the enterprise.
At Health Market Science, our core competency is building and maintaining the most accurate U.S. provider directory in the market. Over the last decade, we’ve developed and perfected the process of aggregating thousands of sources of provider information and running that data through our rigorous methodology to create a golden record for 5.1 million healthcare practitioners and more than 450,000 organizations and affiliations—The HMS Provider MasterFile.
Accurate provider information optimizes core business processes including:
- Care coordination
- Provider file maintenance
- Auto-adjudication
- Credentialing
- Network development
- Provider contracting
- Fraud and abuse investigations
- 1099 reporting to the IRS
The HMS Provider MasterFile includes comprehensive coverage that can be updated weekly, monthly or quarterly at the national, state and local level:
- Demographics
- multiple addresses, phone and fax numbers
- Identifiers
- All state licenses and status
- All DEA numbers and status
- NPI
- DOB
- Tax ID numbers
- Specialties
- Taxonomies
- Sanctions by state
Multiple and flexible delivery options
HMS Provider Directory files are vendor agnostic and can be delivered to our clients in any format
Alternatively, the information in the directories can also be accessed via web-based queries.
HMS Provider Online: Provider data when and how you need it.
In an economic climate where cost effectiveness is essential, no company can afford to lose time and money due to difficulty accessing valid provider information. Trying to solve the problem through searches and phone calls is costly and time consuming. Provider Online delivers access to HMS Provider Directories online. It’s fast, thorough, easy-to-use, and available 24/7.
Empowering data stewardship.
Access to a “one-stop” shop of provider information significantly reduces the time and expense it will take to verify your information is accurate.
Benefits include:
- Online access to every provider in the United States in one place
- Subscription-based convenience and security
- Unlimited look-ups
- Powerful search functionality