CredentialingSpectrum
CredentialingSpectrum provides a comprehensive automation for credentialing, accreditation and contract management in healthcare.
Some of the key features of the software includes following
1) CAQH Integration and attestation functionality.
2) Management of Credentialing and Re-credentialing activities and reminders.
3) Digitized Insurance applications in PDF, Excel, Webforms that auto-populates.
4) Document Management for providers, locations, entity and insurances.
5) Reminders on Expiration of various credentials such as CDS, DEA, License, CAQH, Board Certification, Malpractice and any scanned documents.
6) Provides 7 layers of source verification feature added on top of basic OIG Sweep that includes exclusion search and license verification.
7) Integration with DocuSign, Fax and Secure email for seamless communications.
8) Extensive Reporting for user performance and activity tracking.
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symplr Payer
Save on costs, eliminate data silos, and deliver better outcomes for your members with a unified, automated provider data solution. symplr Payer provides a single source of truth for provider data that is consistently reconciled and validated against primary sources. It improves data quality, access, and transparency. Further, it eliminates duplicate requests for information, reducing provider frustration. Using symplr Payer as the enterprise-wide hub for provider data, payers can feed timely, accurate information to other downstream systems. Our highly configurable, end-to-end provider data management solution manages all pre-contract and renewal contract negotiations. Standardize and streamline your contracting processes, while capturing contract details such as sentinel events, trigger dates, configuration efforts, process steps, fee schedule info, and more. symplr Payer’s unique design allows your organization to consolidate contracting and credentialing.
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Verisys
For three decades, Verisys has served some of the largest and most complex healthcare organizations in the United States, credentialing more than two million events annually. Our provider credentialing services get and keep you compliant. Credentialing and re-credentialing providers is a complex process for health plans, hospitals, and health systems. Physicians are licensed in multiple states and provide telehealth services across state lines. This requires license verification with each state board and compliance with that state’s unique regulations. Identity matching is complicated due to physicians having the same name, maiden names, alias names, nicknames, or abbreviated names. To get a complete view, each physician must be screened, and credentials verified against thousands of primary sources. We can help you do anything from a simple provider credential search to implementing a full end-to-end credentialing solution.
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Modio Health
Built by physicians and credentialing experts, Modio Health OneView provides simple, centralized, credentials management for your entire team of healthcare providers. There's no need to hunt for credentialing information anymore; OneView uses public services and primary source verification data to automatically gather provider details like NPI, DEA, license numbers, education, and more. With OneView, keep your team in compliance while your providers focus on clinical care.
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