Accurate and up-to-date healthcare provider data is integral for health plans to guide their members towards the most appropriate care and for providers to deliver that care efficiently – ultimately reducing cost, improving quality of care, and improving outcomes.
Collecting and consolidating provider data (physicians’ names, practice locations, office hours, hospital affiliations, etc.) is crucial to making referrals, ensuring that claims get paid, as well as fulfilling any number of tasks on the patient care continuum for payers and providers. Interoperability has introduced several policies that necessitate the need to have an up-to-date provider directory.
