Reduce Administrative Costs with Better Provider Data
High quality provider data creates powerful insights and strong strategy, while poor quality provider data substantially increases your risk and the cost of doing business. Health Market Science provider data solutions give health plans the information needed to reduce administrative costs, as well as comply with mandatory medical loss ratio regulations that include the prevention of inappropriate access to patient health information (PHI).
In addition to compliance, quality provider data information is critical for optimizing the core business processes for health plans, including:
- Provider File Maintenance
- Provider MasterFile
- Provider Online
- Provider Data Assessment Services
- Provider Data Enrichment Services
- Business Process Outsourcing
- Auto-adjudication
- Credentialing
- Network Development
- Provider Contracting
- Fraud and Abuse Investigations
- 1099 Reporting to the IRS
For better results, contact us.