features and benefits
Take a holistic network management approach
Our administrative platforms, workflows and repositories support:
- Provider data alignment
- Network and product configuration
- Network adequacy
- Recruitment analysis
- Credential tracking
- Fee schedule management
- Claims pricing
- Contract modeling and management
Align provider data and configure networks
Our Provider Network Data Management platform, workflows and repositories help to administer complex and tiered networks. Leverage one source of truth to align provider demographics, contract and fee schedules to support complex provider network product configuration.
Identify network gaps to optimize networks
Our GeoAccess® enterprise platform and desktop software provide tools to help meet network adequacy targets and more efficiently generate compliance reports. Use our gap analysis and analytics-based provider recommendations to optimize network size and participation.
Manage and evolve provider networks
Recruit from our national provider database to fill network gaps. Manage and track credentialing activity and documents. Price and reprice claims to optimize financial contracts and model historical claims to project contract impacts and enhancement opportunities.
Better manage provider touch points
Provider Network Relationship Management provides dashboards and optimized workflows to align, manage and track provider interactions through recruiting, credentialing and contracting. Cross-team visibility and proactive notifications help better engage providers.