Industry Collaboration Improves Provider Directories

A coordinated approach to provider data management fosters data accuracy and adds efficiency to healthcare administration.

October 2019

Members expect their health plan to deliver reliable and accurate provider information so they can find the care they need. Yet maintaining up-to-date, high-quality provider directories is challenging. About half of all provider location listings have at least one inaccuracy, according to the Centers for Medicare and Medicaid Services (CMS).

Provider data standardization can help ensure accurate provider information is available to use for connecting patients with providers, provider licensing and paying for services. High-quality provider information also has the downstream benefit of helping improve member satisfaction.

As the industry continues to work to simplify provider data management, an increasing number of health plans rely on DirectAssure to improve the quality of their provider directories. With DirectAssure, health plans are also able to reduce their operational costs by lessening their need to reach out to individual providers and reduce their audit risk.

CAQH is hosting a webinar on November 19, in partnership with the Ohio Association of Health Plans, to provide a deep dive into the current state of provider directories, the relevant regulatory environment and the advancement of industry solutions. Register now.

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