Simplify Provider Data, Directory, and Contract Management.
- Load provider data and contracts once and integrate this information across the enterprise.
- Maintain data accuracy and resolve conflicts with our IntelliMatch capability.
Consolidate provider data and contracts into a single source of truth.
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.
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.
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.
eProviderSync improves the speed, accuracy, compliance and cost-effectiveness of provider data and contracts.
An end-to-end solution for eliminating disparate legacy systems and error-prone processes.
- 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
Ancillary (Dental, Vision, Pharmacy, STD, LTD, Life etc.)
- 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
- 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.)
Portals (Member, Provider, Customer Service, Broker, Agent)
Authorization / Referrals
MDM (Master Data Management)
Modeling tools (Quest Analytics, Homegrown)
What our customers say.
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.