Provider Data Management | symplr Payer
Expedite credentialing processes and protect your members
Save on costs, eliminate data silos, and deliver better outcomes for your members with a unified, automated provider data solution.
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.
Streamline contracting to get members access to high quality, cost-effective care
Seamlessly negotiate, generate, and manage contracts for all provider types
Create a single source of truth for provider data
Credential providers up to 60% faster
Manage every aspect of provider information
Enable self-service applications using eApply
Efficiently manage your network
Import multiple data sources with Dynamic Import Utility
Share data updates with internal stakeholders using eSearch
Track and measure quality performance data with symplr Surveys
Protect your data using a HITRUST-certified solution
See how symplr Payer has boosted provider satisfaction and retention:
symplr Payer's seamless, virtually effortless report creation using real-time data provides the transparency we need to take action and make decisions.
symplr Payer auto-populates and cascades the updates across the entire system, which ensures accuracy and timeliness, and reduces the possibility of human error.
symplr Recognized as a Major Player in IDC MarketScape Report on Provider Data Management for Payers