For Payers, effectively collaborating with Providers and keeping their Provider data up-to-date is a daunting task due to inherent nature of Provider Demographic changes and disparity in the Networks. Failure to meet these challenges is causing high penalties by regulatory bodies, poor Providers, and member satisfaction levels. It can result in members electing to choose switching to other carriers.
Challenges
Deprived Data Management
Absence of institutionalized strategies to deal with Providers’ information.
Unorganized Workflow
Inability to oversee smooth workflow for seamless Provider network management.
Inaccurate provider data
Manual data management influencing the quality of information and generating constant data inconsistencies.
CONTRACTS Variations
Differing contracts between healthcare services, professionals, etc., that further complicate data management.
Regulatory Compliance
Failure to keep up with the required administrative guidelines and avoid penalties.
Member dissatisfaction
Network Inadequacy leads to reduced member satisfaction
The Solution
Payers can leverage I-Network, a comprehensive and nimble Provider network management solution, to resolves these issues.
Key Benefits
Attracts more Providers and support Provider recruitment campaigns
Improves member satisfaction and relations with Providers
Enhances data sharing and uniformly populates relevant information throughout the network
Cuts down the processing cost of Provider applications
Significantly improves the quality of the Provider data
Streamlines & optimizes network management activities
Expedites credentialing and strengthens verification capabilities