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Healthcare Payers today are inundated with provider data. Claims, credentialing, customer service, network management and many other areas of the organization typically collect and manage provider data in disparate systems that don’t communicate directly with one another and that don’t employ similar formats or structures.
As a result, updates made in one system aren’t conveyed to others and corrections aren’t communicated across the enterprise. With inconsistent and inaccurate data, claims are paid incorrectly, checks are sent to outdated addresses, and provider directories are inaccurate.
NetworX Provider establishes a single, trusted source of provider information, increasing administrative efficiencies and supporting strategic initiatives. NetworX Provider consolidates provider data from multiple, disparate systems, helps normalize the data, and stores it in a centrally managed database. This provides payers with access to consistent, accurate and reliable data.
The benefits of NetworX Provider:
- Clean, consistent and accurate provider data.
- Administrative efficiencies and cost-savings.
- Support for tiered networks, specialty networks, NPI compliance and other strategic initiatives that require clean, accurate provider data.
- A building block for pay-for-performance and provider-transparency programs.
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Information
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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