VIDEO
What is Provider Network Management?
Its time to revisit the way health plans manage provider information. In the world of value-based contracts and alternate reimbursement models, a provider’s relationship with a health plan has become increasingly complicated. Provider Network Management is the key to better, quicker, and cheaper provider data.
SOLUTIONS FOR PAYERS
Provider Data Management
Payers are under significant pressure to improve provider data accuracy, and to maintain these higher levels of data quality. In order to achieve the necessary levels of provider data quality, payers must be able to share information between internal systems and their contracted providers. Gaine makes this integration possible without the traditional cost and complexity.
Some of the nation’s largest health plans and hundreds of provider groups have found a better way – with Gaine’s Provider Data Management suite.
Get the Provider Data Management Lifecycle Whitepaper
This whitepaper details the shortcomings of traditional provider data management and what to look for in a modern provider data management solution. Map provider data across the enterprise to visualize solutions planning and learn about key tools to improve business processes and outcomes.
What’s inside:
- The provider data management lifecycle
- Integrations landscape ( LexisNexis, NPPES, CAQH, Credentialing, Claims, Attestation, Provider Roster Groups, etc.)
- Gaps in provider data management which lead to issues
- Benefits of a true provider system-of-record
- Best practices in provider data management
- Key capabilities of a Provider Master Data Hub
We’ll send it to your inbox!
Submit your information and receive your Provider Data Management Lifecycle whitepaper in your inbox for direct download.
Get the Whitepaper
A Pivotal Guide for Solutions Planning
Provider data quality impacts almost all aspects of a healthcare payer’s business operations. Despite investing significant time and effort, health plans struggle to maintain high-quality provider data across siloed systems.
Inaccurate provider data gives rise to significant administrative overhead through re-keying, lower auto-adjudication rates, increased call center volume, and even regulatory fines.
The Provider Data Management Lifecycle whitepaper explains the shortcomings of traditional provider data management and what to look for in a modern provider data management solution when, improving business processes and outcomes.
What you you’ll learn:
- The provider data management lifecycle
- Integrations landscape ( LexisNexis, NPPES, CAQH, Credentialing, Claims, Attestation, Provider Roster Groups, etc.)
- Gaps in provider data management which lead to issues
- Benefits of a true provider system-of-record
- Best practices in provider data management
- Key capabilities of a Provider Master Data Hub
We’ll send it to your inbox!
Submit your information and receive your Provider Data Management Lifecycle whitepaper in your inbox for direct download.
The reality is that there are no healthcare applications that can function as a provider data system-of-record as a “side-hustle.”
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Discover what true interoperability can do for your business!

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