Payers are often limited in improving the experience of Provider Onboarding and that’s largely due to use of legacy and point solutions managing provider lifecycle. Onboarding a provider into the plan network is inefficient and is highly manual with multiple silo systems used for processing a provider application. Providers have no transparency into process or current status of the application.
Our platform helps with guided submission of application form and minimizes any follow ups with providers for missed information. Allows providers to track and monitor every step of the participation process.
Key Challenges
- Ensure fitment and Network Adequacy verification in real time
- Reduce credentialing delays with real time Primary Source Verification
- Allow providers to review and negotiate contracts digitally
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The Solution
Digitization to improve provider onboarding experience
- Our platform evaluates fitment and adequacy with minimal provider information as part of the digital application to continue with the participation process.
- Our platform is integrated with CAQH ProView to minimize demographic and credentialing information re-entry by Providers, with automated Primary Source Verification.
- Our Contract Management uses AI and NLP based Digital Contract Repository to guide the provider through the contracting workflow, enables self-service, transparency and access to digital contracts
Real-time Tracking
- Engage with Providers real time during onboarding and beyond
Benefits
Transparency into process or current status of the application
Guided submission of application form
Minimizes any follow ups with providers for missed information
Allows providers to track and monitor every step of the participation process
