The Importance of NCQA Certification for CVOs Verifying credentials for practitioners and affiliated organizations is a key component of patient safety in healthcare. To perform thorough, efficient,...
Provider Directory and Data Management
Incomplete and Messy Data in, Clean File Out
Verisys’ provider directory management solutions transform often flawed provider data into comprehensive, highly configurable directories that integrate seamlessly with your member portal. Our flexible approach 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.
We configure the data which is often nested by network provider, provider location, provider speciality and prover plans, provider tiers 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, highlighting and tiering network providers that is personalized just for them — including telemedicine providers.
By offering a more comprehensive, integrated provider search platform, you 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
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.
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 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.
Billion provider data records processed annually
Billion provider records updated annually
Million provider search transactions annually
Years of provider directory experience