Provider Data Management Solution Overview
Organizing, maintaining, and managing an ever-changing sea of provider data has become a major undertaking. Many healthcare payer organizations are faced with a wide array of systems, constantly evolving regulations and compliance requirements, and complex agreements. These administrative challenges can lead to costly inefficiencies and missed opportunities.
Exela’s Provider Data Management service is designed to relieve healthcare payers of this burden by introducing operational best practices, leveraging powerful technology, and strengthening existing workforces with trained exerts. Our solution enables strategic forward-looking management of provider data to improve accuracy, decrease compliance issues, and encourage a better relationship with your providers.
30+
years of Experience
Accurate
Validation
Simplifies
the Process
Seamless Source Integration and Interoperability
Match, reconcile, and combine data from many sources into one reliable database and get easy-to-understand context for all data points with Exela’s advanced automated system. Interoperability with claims processing and adjudication platforms ensures data is readily available where it’s needed most.
Proactive Compliance
With over 30 years in the industry, Exela builds regulatory compliance into every process. Our data management system is designed to deliver transparency through audit trails and next-level reporting features to ensure that your organization is prepared to meet current and future regulatory expectations.
Provider Data Maintenance and Changes
Exela’s Provider Data Management systems simplify the process of updating stored provider data, and allows for easy tracking of all updates for full transparency.
Provider Enrollment and Validation
Enroll new providers using their profile, W9, contract information between the provider and the group (PPG), or contract information checklist. Exela partners with a number of businesses and organizations to ensure accurate validation of provider information, including NPI number, stat license, address, DEA number, demographic information, and UPIN.