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Simplify Provider Data and Contract Management.

  • Load provider data and contracts once and integrate this information across the enterprise.
  • Maintain data accuracy with unique crowd-sourcing and match algorithms.

 
 

Consolidate provider data and contracts into a single source of truth. 

 eProviderSync | Automate the end-to-end provider lifecycle 

Automate end-to-end provider lifecycle.

eProviderSync is a patent-pending SaaS based provider and provider contract management solution.  It automates the end-to-end provider life cycle, so you can create a single source of truth for providers. 

 eProviderSync | The only solution developed by health plan professionals.

The only solution developed by health plan professionals.

House all types of providers and extend the provider models to include the innovative affiliations demanded by Value Based Purchasing and Contracting.

 eProviderSync | Improve Net Promoter / Customer Satisfaction scores

Improve Net Promoter / Customer Satisfaction scores.

eProviderSync’s ability to improve data accuracy ensures consistency of provider data and contracts across the health plan. This further improves the net promoter and customer satisfaction scores.

 
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Why eProviderSync?

eProviderSync improves the speed, accuracy, compliance and cost-effectiveness of provider data and contracts.

Speed to Market

Increase speed to market up to 70%

Errors

Decrease errors up to 90%

Admin Costs

Decrease admin costs up to 75%
 
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An end-to-end solution for eliminating disparate legacy systems and error-prone processes.

 
 eProviderSync | Configure
 

CONFIGURE.

  • Simplify configuration of providers and provider contracts with intelligent decision support for provider data, directory, network and relations teams
  • Comply with configurable guardrails for regulations, business policy via centralized business rules

  • Flexibly capture ALL types of providers and contracts:

    • Commercial and Government

    • Standard and Custom

    • Value-based purchasing

    • Ancillary (Dental, Vision, Pharmacy, STD, LTD, Life etc.)

 
 eProviderSync | Collaborate
 

COLLABORATE.

  • Engage all stakeholders via integrated use-case specific workflows vs. emails
  • Incrementally build providers and contracts with inputs across teams
  • Annotate and track changes for regulatory and business communication content from single source
  • Robust audit trails enable compliance to regulatory agencies and external auditors
 
 eProviderSync | Communicate
 

COMMUNICATE.

  • Generate all communications document materials from the single source – provider notifications, credentialing, authorizations, contracts
  • Seamlessly integrate provider and contract information via ETL, Web API or Batch files to/from:
    • CRM (Salesforce, MS Dynamics, Siebel)

    • Core-Admin (Facets, Amisys, HealthEdge, Aldera etc.)

    • Provider directory

    • Portals (Member, Provider, Customer Service, Broker, Agent)

    • Credentialing (Cactus)

    • Authorization / Referrals

    • MDM (Master Data Management)

    • Modeling tools (Quest Analytics, Homegrown)

 
 

Case Study.

 eProviderSync | Health Plan selects eProviderSync Case Study

Health Plan selects eProviderSync

Healthcare payer selects eProviderSync to integrate all provider data and contracts into a single source of truth.

 
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DIRECTOR, PROVIDER CONFIGURATION

We are excited to see a solution like eProviderSync in the market. It will help us streamline our legacy manual processes and improve accuracy and speed to market significantly.

FORMER LARGE HEALTH PLAN PROVIDER EXECUTIVE

In my opinion, eProviderSync is the only end to end solution that can help solve the Provider data and contracting challenge in the industry at the root cause. It creates a robust, configurable single source of truth and has a intelligent algorithm to the keep the data updated.

 
 

Ready to get started with eProviderSync?

 
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