Convergent is a product of Leap Orbit LLC | Copyright© 2023
Our client faced a significant obstacle with their provider data integrity. The attestation results from its attestation vendor were not meeting the desired standards, with a coverage and accuracy rate lingering around 40%. This data integrity issue posed a risk to the reliability of their healthcare network, member satisfaction, and regulators.
Learn how IAMHP established a statewide standardized provider roster in Illinois, enhancing data accuracy and compliance through its innovative data processing and validation capabilities, ultimately streamlining Medicaid health plans and improving healthcare access.
Convergent responds to CMS’s request for information on establishing a national directory by Jake Tunney, Business Development Manager, Leap Orbit Introduction On October 5th, CMS published an RFI for a National Directory of Healthcare Providers and Services or “NDH.” The NDH would create a “centralized data hub” to once-and-for-all solve the problem of inaccurate provider directories. …
Delegated Roster Management: Best Practices for Payers by Jake Tunney, Business Development Manager, Leap Orbit Provider Network Development and Management Executive, Loretta Haythorn, joined us on Interoperability Roundtable for a conversation on Delegated Roster Management: Best Practices. Below is a recording and written recap of our conversation.
State-Run Exchanges: Lessons learned from carriers by Jake Tunney, Business Development Manager, Leap Orbit Within the last 2-3 years there’s been a big–and escalating–effort by the federal government to improve both the quality and interoperability of carrier provider data. The intended results include better access to care and the elimination of surprise medical bills. While state…
Many carriers have legacy systems and processes that manage their provider data. The result is a confusing array of many manual and semi-automated processes to try to get accurate data to members. However, some carriers are taking an innovative approach to consolidate their provider data operations without upending their old processes and spurring a mutiny among staff members. Here are 3 reasons why plans need a single source of trust for provider data.
Rosters taking 45 days to upload? Changes you submitted last year, are still being “worked?” There are a number of problems providers face when trying to get their data updated on plans’ directories. Let’s try to find out. Where do these rosters go?
Delegated roster submission can be a challenging process, creating friction between plans and providers, and frustrating members by creating delays in provider demographic updates to your directory and claims system
Health plans are increasingly arriving at the recognition that efficient provider data operations and pristine directories are critical to success.
VillageCare used Convergent to Automate Their PNDS Reporting Error Resolution
The Convergent Provider Data Platform reduces the costly burden of maintaining provider data. Convergent is a product of Leap Orbit, the trusted innovation partner to the leading health data networks.
Convergent is a product of Leap Orbit LLC | Copyright© 2023