Our provider network data management process mitigates increased labor costs due to the enhanced complexity of provider payment arrangements and provider network contracts. By streamlining processes, our provider credentialing services efficiently avoid incorrect contract rates in claims to reduce hassle and prevent administrative burden. These services are all aimed to help payer organizations streamline the way that they operative, providing a positive impact across the various business lines.
Our revolutionary provider data management solutions help to streamline the way you do business, resulting in enhanced data accuracy and reduced operational costs.
Infoville Solutions India Private Limited ’ provider data management solutions make it easy for healthcare organizations to manage provider data so they can boost the success of strategic patient access initiatives. Our revolutionary provider data management solutions result in more accurate data and reduced operational costs. We have a vast amount of experience in provider data management initiatives for large preferred provider organization (PPO) networks and numerous third-party administrators (TPAs).
We specialize our solutions across:
Infoville Solutions India Private Limited ’ team of experts review, assess, and execute a project plan for provider records, including contract and demographic information.Below is a list just a few of the processes we cover for provider maintenance/build:
Providing a host of hybrid and versatile solutions for credentialing services that improve quality, accuracy, and speed of provider data collection while continuously alerting clients to any changes in healthcare provider data points.
Infoville Solutions India Private Limited provides a host of hybrid and versatile solutions for credentialing services. Our team expertly handles payer enrollment and contracting for our clients, turning an arduous task into a quick and easy process. Our credentialing and recredentialing solutions improve quality, accuracy, and speed of provider data collection while continuously alerting clients to any changes in healthcare provider data points, such as infractions or sanctions. We uphold the highest standards of compliance with our centralized credentialing, so your organization never has to worry. Our credentialing and recredentialing solutions include:
Data Lift and Abstraction:
Providers must submit enrollment applications and re-enrollment applications to health plans on a regular basis. These application forms then need to be added to or updated in the client’s system. Revolutionizing a once manual process, Infoville Solutions India Private Limited performs data abstraction and data lifts from these applications for our clients. Any missing information is reported back to the client for further action.
Data points measured with our data lift services include:
For our credentialing services, we provide the highest quality of information verification. The information we verify includes: