Provider data are the foundation of healthcare operations, but, for health plans, managing those data is a major pain point. Inaccurate provider directories, credentialing delays and disjointed ...

Accurate provider data isn’t just a compliance box to tick—it’s the backbone of patient access, smooth billing, and health plan trust. Outdated or incorrect information in NPI records or provider ...

What happened A publicly accessible database created by the Centers for Medicare and Medicaid Services to power a new provider directory has been found to contain the Social Security numbers of ...

Healthcare organizations have long grappled with the complex challenge of managing provider data and networks. The process has traditionally been laden with manual verification, paper-based workflows ...

Last year, researchers looked at the directories of the nation’s five largest health plans and found that four out of five entries were inaccurate. This is more than a minor inconvenience. It’s a ...

Inaccurate provider data is leading to a hidden crisis in the healthcare field — one that threatens patients’ access to timely care, according to Sarah Ahmad, CEO of the Council for Affordable Quality ...

Tammy Hawes is CEO and Founder of Virsys12, a healthcare technology company focused on Provider Lifecycle Network Management automation/AI. Healthcare executives are pouring billions into digital ...