Provider data are the foundation of healthcare operations, but, for health plans, managing those data is a major pain point. Inaccurate provider directories, credentialing delays and disjointed ...

In navigating the evolving landscape of regulatory reforms, intensifying competition and escalating pricing pressures, health plans stand at a pivotal juncture where the accuracy and currency of ...

A centralized approach also strengthens compliance and downstream operations. Real-time data exchange through APIs or integrated user interfaces enables the credentialing status to flow directly into ...

Health data company CertifyOS has unveiled its new Provider Hub platform, technology that allows insurers greater insight into key data across their provider network. Through Provider Hub, payers can ...

Tammy Hawes is CEO and Founder of Virsys12, a healthcare technology company focused on Provider Lifecycle Network Management automation/AI. Healthcare executives are pouring billions into digital ...

Last year, researchers looked at the directories of the nation’s five largest health plans and found that four out of five entries were inaccurate. This is more than a minor inconvenience. It’s a ...

Inaccurate provider data is leading to a hidden crisis in the healthcare field — one that threatens patients’ access to timely care, according to Sarah Ahmad, CEO of the Council for Affordable Quality ...