The Cost of Customization
Customization is often seen as a luxury--a product or solution that is tailor-made to fit one's exact needs. When it comes to customization in the business of healthcare, customization can be counterproductive.
Customization is often seen as a luxury--a product or solution that is tailor-made to fit one's exact needs. When it comes to customization in the business of healthcare, customization can be counterproductive.
According to a recent CAQH ProView® provider data analysis, dentists who share their professional and practice information with multiple plans using a single platform are far more likely to keep their information updated than those who use multiple methods.
Specifically, almost 90 percent of dentists who use ProView to share provider data with 10 or more dental plans, keep their profile current — meaning they attest to the accuracy of their self-reported data every four months.
Dental provider credentialing, a process most often associated with a dentist contracting with an insurance carrier, can be cumbersome for both dentists and dental plans.
One reason is related to slow adoption of automated solutions resulting in continued reliance on paper-based submissions of enrollment applications. Even when automated solutions are used, a dentist may need to access a separate platform to complete the enrollment application for each contracted plan.
CAQH Provider Data is an online provider data solution. It streamlines provider data collection, maintenance and sharing by using a standard electronic form that meets the needs of nearly every health and dental plan, hospital, provider group and other healthcare organization.
Provider credentialing is a regulated process of assessing the qualifications of specific types of providers. This important safety check requires providers such as doctors, dentists, and other allied healthcare professionals to show they have the proper education, training and licenses to care for patients. Hospitals and health plans verify the information supplied by the provider before they are included as an in-network provider.
Join us on August 14, 2019 from 2-3 pm ET to hear from a health plan and a delegated group who are both using CAQH ProView for Groups to better share and manage delegated data.
What you will learn:
Resources:
We will be conducting a DZ Demo on Wednesday, September 18 at 12:42 pm. Drop by to learn how to improve directory accuracy with DirectAssure - powered by CAQH ProView.
Visit us at CAQH booth #310 to learn more about our work to relieve the administrative burden for the dental industry.
Integrated portal creates seamless transition between two CAQH Solutions
Late last year, CAQH launched CAQH ProView for Groups to simplify the way data is shared between delegated provider groups and health plans. This first-of-its-kind functionality replaces the highly manual processes widely used today with an intuitive, efficient module within CAQH ProView.
Artificial Intelligence developed by CAQH is now making it possible to increase the accuracy of healthcare provider directories, without contacting the provider.
Learn how the Centene Corporation is using CAQH ProView for Groups to simplify the process of managing and sharing roster data with their delegated groups.
Resources: Presentation Recording