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With healthcare payers now facing stiff penalties for erroneous or out-of-date provider information, TruProvider offers a cohesive, highly effective approach to Provider Data Management.
An integrated provider data management platform, TruProvider operationalizes the key functions of the provider lifecycle by integrating robust workflows, SLA tracking abilities and role-based dashboards into one, holistic solution. The proprietary platform effectively manages provider data while minimizing disruption to processes such as claims adjudication and allows room for increased efficiencies in key downstream metrics.
Obsolete provider data is one of the top five issues challenging today’s health plans.
Changing at a rate of 3% each month, health plans struggle to maintain a trusted view of provider data—at an estimated annual cost of $2.1B, overall.
Starting 2016, CMS requires plans to monitor and conduct regular updates of their provider network data.