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The case for enterprise provider data management

Using a provider registry to increase efficiency and improve identity management

Provider data, such as a physician’s name, services offered, and managed care affiliations, is essential for: 

  • Claims payment 
  • Referrals 
  • Sharing patient information 
  • Hospital privileging 
  • Provider credentialing 
  • Payer contracting 
  • Network management 

This data must be accurate and attributed to the correct provider for quality and other regulatory reporting, shared savings, data analytics, and consumer choice. 

The need to harness high-quality provider data is more critical than ever as healthcare shifts focus from siloed fee-for-service medicine to value-based payment, care coordination, and interoperability. 

In this whitepaper, The case for enterprise provider data management, we address the challenges related to provider data matching and share how the right technology can solve these challenges. 

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