Maintaining accurate provider data is essential for operations and fostering positive relationships between health systems and payers. It may seem simple, but it is a complex task critical to ensure ...

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 ...

Healthcare is facing a pivotal moment in provider data management. As revealed in recent research from the American Journal of Managed Care, 40% of provider directory inaccuracies persist for an ...

OSF HealthCare, a health system serving Illinois and Michigan, prides itself on innovation and digital transformation. It has more than 26,000 employees, 171 locations including 17 hospitals, and more ...

Healthcare organizations have long grappled with the complex challenge of managing provider data and networks. The process has traditionally been laden with manual verification, paper-based workflows ...

In this article, Mark Martin, Director, Payer Solutions- Provider Data Management explores the challenges of implementing better provider data processes. Recent blogs covered the first two challenges ...

In healthcare, accurate and up-to-date provider information is critical for meeting patient care needs and maximizing revenue. It powers everything from provider onboarding and enrollment to patient ...

"The poor quality of provider data has created one of the most pressing challenges in this era of healthcare reform," said CAQH Executive Director Robin J. Thomashauer. "The industry will be much more ...

Managing provider networks efficiently requires more than just accurate data or scalable infrastructure—it demands both working seamlessly together. In this joint webinar, Certify and Candor Health ...

Recent survey and system data are again suggesting that payers’ increasing claims denials are a pain point for healthcare providers. Nearly three-quarters of the 210 provider revenue cycle leaders ...