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PRIME® Healthcare Provider Data Validation

Atlas Systems

PRIME® Healthcare Provider Data Validation

Atlas Systems

Many health insurance plans and health systems struggle to keep provider directories accurate and up

Through PRIME®, Atlas Systems leverages its extensive knowledge of databases and platforms to take on this difficult but all-important assignment. PRIME® works closely with IT, Provider Ops, Member Experience and Compliance teams of Payors to deliver a real-time view of your trends in provider data accuracy – accessible on demand through a customizable dashboard. Embedding these services in Azure platforms and services, Atlas works as a seamless extension of both payor and provider teams, ensuring regulatory compliance and great member experiences.


What We Offer

1-person data validation: Atlas reaches out directly to health systems and providers to confirm dozens of crucial data points – from locations to specialties to languages spoken. We tailor our validation to your most significant challenge areas, delivering up-to-the-minute information directly to your database and through our intuitive online dashboard.

Ongoing directory monitoring: Through PRIME, Atlas offers regular refreshing of your provider information, assuring that it remains compliant with federal and local regulations – and delivers reliable information to members. We capture such important milestones as expired licenses and registrations, sanctions, and deceased providers.

Real-time data access:Clients can view their latest PRIME data on demand through our intuitive online dashboard. Customized to client needs, the dashboard delivers a real-time view of accuracy levels from many perspectives, as well as updates on how the validation project itself is proceeding. Our platform is also fully FHIR compatible.


Deliverables:

  • 1-person validation of provider directory database
  • Ongoing monitoring of directory accuracy
  • Online customized dashboard

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https://store-images.s-microsoft.com/image/apps.16394.9d26e0fb-42c7-453d-9ce7-baa8bd785bac.2821c31a-0b82-482f-8985-33b37756acf3.99738ab1-240f-4b47-a255-51420045d5e2