DirectAssure

Your provider directory may advertise claims payment addresses for practice locations

Collecting and confirming provider data is a time-consuming and costly venture.

Providers are inundated with requests from payers for updated practice information while attempting to balance treating patients and juggling other administrative concerns. For some providers it all comes down to ensuring they are reimbursed in a timely fashion, this is why they will often default to using their claims reimbursement address in every ask for contact or practice information.

DirectAssure 2.0 Feature Comparison

Recent releases have included features that enable participating organizations to:

  • Meet directory requirements in the Federal "No Surprises Act"
  • Comply with state requirements related to race, ethnicity and language and other    updates
  • Enhance cultural competency and provide directory information of interest to diverse and underserved communities
  • More efficiently and accurately manage data

If your organization is using DirectAssure 1.0, you are receiving basic features to meet regulatory requirements:

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:

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