In navigating the evolving landscape of regulatory reforms, intensifying competition and escalating pricing pressures, health plans stand at a pivotal juncture where the accuracy and currency of ...

In healthcare, accurate and up-to-date provider information is critical for meeting patient care needs and maximizing revenue. It powers everything from provider onboarding and enrollment to patient ...

Last year, researchers looked at the directories of the nation’s five largest health plans and found that four out of five entries were inaccurate. This is more than a minor inconvenience. It’s a ...

LOS ANGELES—Inaccurate and out-of-date health plan provider directories continue to be a vexing problem in healthcare and can make it difficult for patients to find a clinician when they need care. It ...

Healthcare organizations have long grappled with the complex challenge of managing provider data and networks. The process has traditionally been laden with manual verification, paper-based workflows ...

An innovation council brought together some of the nation’s largest health plans to raise issues and look for ways to improve complex processes, including credentialing and provider data management.