Accuracy is our priority
Maintaining an accurate, up-to-date provider directory is crucial for healthcare organizations to remain compliant with regulations and provide the best service to their members. Inaccurate provider directories can lead to claim denials, patient dissatisfaction, and costly penalties.
At HealthyFort, we offer comprehensive Provider Directory Management Services to ensure that your provider data remains accurate, compliant, and easily accessible. Our approach leverages cutting-edge technology, multi-verification methods, and deep industry knowledge to deliver a seamless, efficient solution tailored to your needs.
Scope of Services
Provider Data Validation
We ensure that your provider directory is continuously updated and validated. Our team performs regular outreach and verification processes to confirm the accuracy of provider information, including:
- Provider name, specialty, and credentials
- Practice locations and office hours
- Contact information (Phone, Email Addresses)
- Network participation status
- Accepting new patients status
- Languages spoken
Regulatory Compliance
Our services help you stay compliant with regulatory requirements such as:
- CMS (Centers for Medicare & Medicaid Services) accuracy guidelines
- NCQA (National Committee for Quality Assurance) standards for provider directories
-
State and federal regulations
governing provider network accuracy and access
We monitor regulatory changes and ensure your provider directory is always up to date to avoid penalties or sanctions.
Provider Outreach and Engagement
Our dedicated team conducts proactive outreach to providers to verify and update their information regularly. We use multiple channels for communication, including email, phone calls, and online portals, ensuring that we reach providers in the most efficient way possible.
Benefits of Our Provider Directory Management Services
Increased Accuracy and Compliance
Improved Member Experience
Cost Savings
Enhanced Provider Relationships
Scalability
Benefits of Our Provider Directory Management Services
- Increased Accuracy and Compliance – With our thorough validation and proactive engagement, you can trust that your provider directory meets all regulatory requirements and is free from costly inaccuracies.
- Improved Member Experience – Accurate provider directories allow your members to quickly and easily find in-network providers, which enhances their overall experience and satisfaction with your health plan.
- Cost Savings – By minimizing claim denials and regulatory penalties due to inaccurate provider information, our services help reduce administrative costs and improve financial outcomes for your organization.
- Enhanced Provider Relationships – Regular outreach and communication foster positive relationships with your provider network, making it easier to maintain accurate and updated information.
- Scalability – Our solution is fully scalable, whether you manage a small regional network or a large national provider directory. We adapt to your specific needs and grow with your organization.
Our Process
Initial Assessment
We begin with an in-depth audit of your current provider directory, identifying areas of improvement and any data gaps. Based on our findings, we develop a customized plan for managing and optimizing your directory.
Data Cleansing and Standardization
We clean and standardize your existing provider data, ensuring consistency and accuracy across all entries. This involves removing duplicates, correcting inaccuracies, and filling in missing information.
Verification and Outreach
Our team conducts verification processes and engages directly with providers to validate and update their information. This includes confirming contact details, practice information, and network status.
Ongoing Maintenance and Monitoring
After the initial cleanup, we provide ongoing maintenance services to ensure your directory remains up to date. We perform regular verifications, manage provider changes, and offer support as needed.
Reporting and Optimization
We provide continuous feedback and detailed reports on the accuracy and compliance of your provider directory. Our team makes recommendations to further optimize your directory management process.
Our Happy Clients
Contact Us
Ready to elevate your customer service and enhance your revenue? Contact us today to learn more about how our call center solutions can benefit your company.
Office Address
#2C-324, BR Arcade, 1st Floor, 2nd Cross Rd, OMBR Layout, Banaswadi Bangalore - 560043, India
Office Timings
Monday - Saturday (Open)
Sunday (Closed)
Emai Address
info@HealthyFort.net
Phone Number
(813) 922-2708