Provider Data Management | symplr Payer
Expedite credentialing processes and protect your members
Trusted by leading payer organizations to achieve superior results
“Thanks to symplr Payer, we can credential 60% more providers (5,000 up from 3,000) 30% more quickly with the same staff because symplr Payer automates the primary source verification. It pulls, uploads, and stores the supporting verification for us. Everything we need is right there!”
Grow your networks, fortify compliance, and drive revenue
Provider credentialing is a highly regulated, time-consuming, and laborious process, often taking three to six months to complete. With 2-3% of provider demographic data changing monthly, payer organizations struggle to maintain high-quality provider data, let alone fix inaccuracies.
The risks associated with poor provider data integrity go far beyond inefficiency and increased timelines. Payer organizations face greater risk in data security; and incomplete or inaccurate information regarding a provider’s professional certifications, work history, or malpractice insurance can lead to extensive credentialing and enrollment delays, causing member access issues and lost revenue.
To keep up with the growing volume of applications, payers need to be able to improve efficiency and scale their operations. Tools such as batch processing, web crawlers, and form-automation technology can improve critical workflows for primary source verification, credentialing, and enrollment.
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.