What does provider management do?
The healthcare industry relies upon provider data to better connect members to services, process payments, manage contracts, and access data for credentialing. It’s the responsibility of provider management to maintain the operations of the provider network in order to ensure those crucial services are seamless and uninterrupted.
However, it can be a challenge to maintain an accurate and up-to-date provider database. Health plans and providers might have to access many different databases for the information they need, resulting in incompatible systems, inconsistent formats, delays in data transfer, outdated information, and higher risk of fraud. This lack of operational efficacy can have serious repercussions for health plans, providers, and members.