The evolving provider operations landscape incorporates a growing need for voluminous exchange of provider information between health plans and external constituents. Health plans need a better way to facilitate business partner provider data exchanges, to benchmark with external master files to improve accuracy, to enrich provider information with performance data, and to ensure network integrity through primary source verification. Portico Data Services automates the exchange and internal distribution of external provider information.
Portico Data Services Orchestrates External Provider Data Exchanges
The Portico Data Services solution serves as a provider data exchange hub that enables health plans to easily assimilate and distribute external provider data. It provides a complete set of functions for managing the receipt of provider data from external industry sources to ensure accurate and complete provider information.
Portico Data Services utilizes pre-built data integrations, processing rules, and workflows to enable external provider data exchanges. Available data source types include primary source verification, demographic benchmarking, sanctions, quality ratings, and leased network vendors. For each data source, the solution provides a data broker and a corresponding subscription service.
Portico Data Services delivers powerful benefits, including:
- Reduced cost of data administration
- Increased accuracy and data completeness
- Continual verification and enrichment of provider data
- Improved currency of provider data
- Efficient consolidation of provider data from multiple sources
- Standardized provider data quality control mechanisms
- Streamlined provider data import processes
- Enhanced distribution of provider data
|
