DirectAssure

Webinar: A 360° View of Cigna-HealthSpring Strategies for Improving Provider Directories

Understanding the foundational elements and administrative processes needed to improve your plan's provider directories is an essential first step to more accurate, timely data.

Resources: Recording

Join Krista Lehm, Director, Delivery System Support at Cigna-HealthSpring and Ron Urwongse, Sr. Product Manager at CAQH for a detailed discussion on:

Provider Directory Data Confirmation for Providers and Practice Managers

There is now an easier way for health plans and healthcare providers to meet new federal and state requirements for improving the accuracy of provider directories. To reduce the burden associated with redundant requests that providers and practice managers would otherwise receive to regularly update this information, CAQH has developed a streamlined process to review, update and confirm the required data within the regular CAQH ProView re-attestation.  

DirectAssure

Developed in collaboration with CAQH member health plans, DirectAssure® helps healthcare organizations improve the accuracy of provider directories and meet Federal and state requirements, including the No Surprises Act (NSA). 

DirectAssure FAQs for Health Plans and Health Systems

Why is there a need to improve health plan provider directories?

The changing healthcare landscape brings new market realities: a wider range of consumer choices, lower-cost health plans with narrow provider networks, and limited knowledge among providers and patients about the specific insurance products in which they participate. Inaccuracies in provider directories can result in patients unknowingly accessing out-of-network providers or being unable to find where an in-network provider is located.