CAQH

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.

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.