Provider Data Management
Enhanced Network & Workforce Management Through Data
Optimize payer network program outcomes across all types of credentialing, network monitoring, and data accuracy through verified data, automation and technology.
Incomplete and Messy Data in, Clean File Out
Verisys’ provider directory management solutions improve and transform often flawed provider data information into comprehensive, highly configurable directories that integrate seamlessly with your member portal. Our flexible approach to provider data management meets all market needs. Whether it’s providing an extract, a complete portal, or doing a data clean-up, Verisys will work with clients to ensure requirements are met and systems operate with expected accuracy.
We configure the data which is often nested by the network provider so the carrier’s digital team can meet their user experience goals. This includes; displaying intricate networks the way you want your members to see them, and highlighting and tiering network providers that are personalized just for them — including telemedicine providers.
By offering a more comprehensive, integrated provider search platform, oranizations can keep current members satisfied and engaged while attracting new customers. Consumers can make informed decisions that can lead to better outcomes—one of healthcare reform’s primary goals.
We process over 450 BILLION provider records each year. Here’s how:
- Integrated offering with implementation, operations and technology platform
- Ability to meet annual enhancements request
- High customer satisfaction scores
- Highly scalable platform, the majority of our customers are processing five days a week
- Branded online, mobile, and print-ready directories
- Accurate, near-real time provider data assures regulatory compliance
- Multiple search, filter, and tiering functionalities
- Ability to Integrate with 3rd party vendors, i.e. with healthcare price transparency tools
- Seamless integration and configuration with client portals
- CMS-mandated provider directory (API: HL7 FHIR VHDIR)
- Compatible with voluntary product accessibility template standards
Billion Provider Data Records Processed Annually
Billion Provider Records Updated Annually
Million Provider Search Transactions Annually
Years of Provider Directory Experience
Easy Solutions
Provider Data Transformation
Provider Directory
Provider Data Extract
Provider Roster Management
Provider Data Services
Verisys enhances your provider data quality programs and member services objectives by aggregating your data, monitoring Medicare opt-outs, and looking for sanctioned or deceased providers. We will drive provider data quality improvements and demonstrate measurable progress toward meeting or exceeding standard-setting bodies and CMS requirements.
Provider Directory
Access Verisys’ comprehensive database of practitioners with current and historical data on more than 4.7 million providers, nationwide, including MD/DOs, dentists, and all allied medical professionals. House demographics, credentials, Medicare opt-out, sanctions, and other provider data and receive provider data through our portal or via a secure file download.
Provider Data Extracts
License the entire provider database or tailor a data set to your needs based on geography, provider type, specialty, or other criteria. Receive a one-time data set or receive updates at the frequency you need. Get provider data accuracy updates as full replacement files or “delta files” that contain only the changed data since your last update.
Provider Roster Management
Please send us your provider roster in any format. We will handle the rest. We can accurately manage your provider rosters across networks & health coverage plans. Our solution alleviates the burden on your team while managing your entire roster, including affiliated and non-par and under contracting.
Transforming Provider Data for a Smarter Healthcare Future
Ensuring accurate provider records is critical for compliance, network integrity, and patient satisfaction. Verisys simplifies provider data management with cutting-edge automation and technology, turning incomplete data into reliable, actionable insights. Our platform integrates seamlessly with health plans, offering real-time updates, credentialing support, and customized provider directories. By prioritizing data accuracy and efficiency, we help organizations enhance care, streamline operations, and improve outcomes for members.
Frequently Asked Questions: Your Provider Data Management Questions, Answered
Still have questions? We’ve got you covered. Check out the answers to our most commonly asked questions regarding our provider directory management solutions below.
Other Questions?
Reach out to our team to learn more about our data management offerings. Contact us here.
What provider data management solutions does Verisys offer?
Verisys offers flexible provider data management solutions that help healthcare organizations maintain accurate, usable provider information across directories, portals, and internal systems. Our offerings include provider data transformation, provider directories, provider data extracts, and roster management.
How does Verisys help improve provider data management?
Verisys helps improve provider data management by turning incomplete or inconsistent provider records into cleaner, more structured data. With automation, configurable workflows, and verified data, organizations can reduce manual effort, improve accuracy, and make provider information easier to manage across the enterprise.
Can Verisys work with our existing provider directory or internal systems?
Yes. Verisys is designed to work with existing systems and workflows, whether you need cleaner provider data, a structured extract, or support for your current directory experience. Our flexible approach helps organizations improve data quality without requiring a full system replacement.
Can Verisys support provider directory management for complex networks?
Yes. Verisys supports provider directory management for complex healthcare networks, including customized configurations, search filters, provider tiering, and telemedicine listings. This helps organizations present provider information in a way that aligns with their network structure and member experience goals.
How does Verisys support provider data management and credentialing workflows?
Verisys supports provider data management and credentialing by helping organizations maintain accurate provider records that can be used across credentialing, monitoring, and network management workflows. This creates a stronger foundation for compliance, operational efficiency, and better decision-making.
