DirectAssure

Improving Health Plan Provider Directories

More than half of patients use health plan provider directories to find an in-network clinician that is right for them. Despite industry efforts, however, directory inaccuracies have been a persistent challenge. When directory information is incorrect, patients can be inconvenienced and face financial consequences. To address these issues, policymakers at the federal and state levels are requiring health plans and practices to put processes in place to improve provider directory data.

Real-World Methods for Improving Provider Directory Accuracy

Health plans nationwide are striving to find cost effective ways to improve the accuracy of provider directories. Learn how CAQH has assisted a health plan in making significant achievements in improving the accuracy of their directories.
Join the conversation as we highlight how DirectAssure®:

  • Improved a health plan's overall provider response rate of 84 percent. 
  • Identified 40 percent of its existing practice locations as invalid. 

Resources:

Plan Achieves 84% Accurate Directory

More than 1.2 million data confirmation calls, continued inaccuracies, and significant provider abrasion were a few reasons why a national health plan explored sustainable approaches to improve the data accuracy of their provider directory. 

In this webinar, learn how DirectAssure®, the CAQH Solution to improve provider directory quality, simplified the health plan’s outreach process.

Results include:

The Hidden Cost of Calls

Improving the quality of provider directories is resource-intensive and expensive. 
 
Gain insight into the potential ramifications of common provider outreach methods many health plans use today.
 
Join CAQH Product Management staff Hassaan Sohail and Ron Urwongse for a 20-minute discussion highlighting how a health plan improved the quality of data in its directory while deprioritizing phone outreach and minimizing provider abrasion.