WHITEPAPER

Understanding the Provider Data Management Lifecycle

Learn how traditional provider data management methods are costing your healthcare organization in a big way and what to look for in a modern provider data management solution.

Learn how traditional provider data management methods are costing your healthcare organization in a big way and what to look for in a modern provider data management solution.

Gaine Solutions Provider Data Management Lifecycle LexisNexis Integration CAQH Integration NPPES Integration Healthcare MDM

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Gaine Solutions Provider Data Management Lifecycle LexisNexis Integration CAQH Integration NPPES Integration Healthcare MDM

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

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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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Gaine Solutions

Gaine helps leading healthcare organizations, life sciences, and biotech companies leverage information as they strive for competitive advantage and operational efficiency. Our Coperor™ platform arms our clients with Information Agility™ which maximizes flexibility, minimizes cost and time-to-value, and eliminates the risks associated with implementing new systems, migrating existing systems, and integrating data from internal and external sources.

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The Journey to Interoperability Starts with Coperor Core Services.

Coperor redefines system interoperability, combining the best of master data management, operational data store, data governance, and harmonization technology into a single platform.

 

 

  • MDM Stack
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NEW WHITEPAPER

Understanding the Provider Data Management Lifecycle

Learn how traditional provider data management methods are costing your healthcare organization in a big way and what to look for in a modern provider data management solution.

Subscribe below to receive the PMD Lifecycle Whitepaper in your inbox, instantly. 

Get the Whitepaper

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Patient Master

Fast implementation, purpose-built industry applications, and scalability from start-up to Fortune 100.

  • Master Data Management
  • Data Governance
  • Enterprise Master Patient Index(EMPI)
  • Third Party Data Integration
  • Industry Model for Patient Data
  • Seamless Integration with CRM

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Data Migration Toolkit

Gaine’s Coperor platform acts as your information broker when moving from old to new systems, merging systems, or integrating with new applications. It sits between your legacy systems and your new platform to ensure that changes made in any system are synchronized according to your business rules — no lost data, no duplication, and no re-keying.

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Patient Master

Build a rich member profile with advanced identity management, demographics, and social determinants.

  • Member Outreach
  • Extended Member Profile
  • Population Health Data Store
  • Enrollment Management

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Provider Master

Gaine’s Provider Data Management suite drastically improves data quality and reduces overhead for Payers and Providers alike.

  • Provider Directory
  • Attestation
  • Roster Transformation for Provider Groups
  • Enterprise Sync
  • Reference Data Gateway
  • Data Quality Services

.EXPLORE THIS SOLUTION  

 

New! Lexis Nexis Risk Solutions Integration

LexisNexis® Risk Solutions is collaborating with Gaine Healthcare to offer health plans a powerful and effortless way of maintaining more accurate and continually updated provider data, addressing the needs of various stakeholders within the payer organization.

LEARN MORE  

Data Migration Toolkit

Gaine’s Coperor platform acts as your information broker when moving from old to new systems, merging systems, or integrating with new applications. It sits between your legacy systems and your new platform to ensure that changes made in any system are synchronized according to your business rules — no lost data, no duplication, and no re-keying.

.

EXPLORE THIS SOLUTION  

Member Master

Build a rich member profile with advanced identity management, demographics, and social determinants.

  • Member Outreach
  • Extended Member Profile
  • Population Health Data Store
  • Enrollment Management

.

EXPLORE THIS SOLUTION  

Provider Master

Gaine’s Provider Data Management suite drastically improves data quality and reduces overhead for Payers and Providers alike.

  • Provider Directory
  • Attestation
  • Roster Transformation for Payers
  • Enterprise Sync
  • Reference Data Gateway
  • Data Quality Services

.EXPLORE THIS SOLUTION  

 

New! Lexis Nexis Risk Solutions Integration

LexisNexis® Risk Solutions is collaborating with Gaine Healthcare to offer health plans a powerful and effortless way of maintaining more accurate and continually updated provider data, addressing the needs of various stakeholders within the payer organization.

LEARN MORE  

Data Migration Toolkit

Gaine’s Coperor platform acts as your information broker when moving from old to new systems, merging systems, or integrating with new applications. It sits between your legacy systems and your new platform to ensure that changes made in any system are synchronized according to your business rules — no lost data, no duplication, and no re-keying.

.

EXPLORE THIS SOLUTION  

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