Search close_icon
Sign in Vendor registration

For Payer Organizations | symplr Payer

Automate and optimize provider data management

Request a demo

For Payer Organizations | symplr Payer

Automate and optimize provider data management

Request a demo

We help you navigate the complexities of managing provider data

for_payer_organization_how_we_help_01

Ensure competent care for member populations

Meeting contract obligations means setting and adjusting the providers in-network—and determining their qualifications. symplr Payer helps you save on costs while delivering the highest-quality care to enrollees.
for_payer_organization_how_we_help_02

Maintain complete credentialing compliance

You can’t fulfill your mission to provide competent care without maintaining compliance with regulators and accreditors, such as CMS and NCQA. symplr Payer provides continuous monitoring for verification and credentialing.
for_payer_organization_how_we_help_03

Reinforce claims and billing initiatives

With symplr Payer, be assured your financials are precisely managed: Track line-of-business and network details, including provider IDs, date ranges, contract relationships, tax identifiers, services, panel statuses, and directory flags.

Rely on one powerful provider-data source of truth

Integrated provider management, tailored for payers

symplr Payer automates credentialing, provider relations, and contracting workflows while acting as a single source of truth for provider data management. Our solution provides a comprehensive experience for integrated provider data management tailored to the needs of payer organizations.

symplr Payer enhances your health plan or managed care organization’s compliance and efficiency, enabling you to provide adequate and competent care for member populations. We are the only cloud-based healthcare provider management solution to achieve HITRUST CSF Certification. Simplify and expedite enrollments with plan mass insert functionality, automated forms population, status history tracking, alerts, and overall workflow automation for improved turnaround times. Configurable workflows reduce human error and ensure continuity.

 

for_payer_organization_description_image

Features designed for network management and provider relations

for_payer_organization_benefits_01

Streamline contract processing

Our comprehensive contracts tool allows for streamlined end-to-end contract processing, including negotiation, generation, and automation of contracts.
for_payer_organization_benefits_02

Drive productivity with dashboard reporting

Easily identify key tasks requiring immediate attention and generate on-demand reports in a variety of file formats.

for_payer_organization_benefits_03

Integrate with client-specific business rules

Automatically connect with industry sources (e.g., CAQH, SAM.gov, QRXS, NPPES, state boards), and align with client-specific clinical and claims systems data.

symplr Recognized as a Major Player in IDC MarketScape Report on Provider Data Management for Payers

The IDC MarketScape recognized symplr as a Major Player and for being a “one-stop-shop, addressing traditional provider network management functions for both health plans and health systems.” symplr Payer is a scalable, cloud-based solution offering end-to-end automated management of provider data. The comprehensive solution offers credentialing, privileging, payer enrollment, event reporting, professional practice reporting, peer review, network management, contracting, recruiting, onboarding, provider relations management, quality management, and systems integration.
Learn more
IDC MarketScape front cover

Resources

Related products

symplr CVO

Get some support, or entirely delegate verification, licensure applications, and payer enrollment to our credentialing verification organization to realize faster application turnaround times and cost savings.
Learn more

symplr Directory

Create a central hub to optimize provider data—people, places, and services—enterprise wide and in real time for use in electronic health records, digital front door/website, revenue cycle systems, and more.
Learn more

Request a demo

Request now

symplr is the leader in enterprise healthcare operations software and services. Our provider data management, workforce management, and healthcare governance, risk management, and compliance (GRC) solutions improve the efficiency of healthcare operations, enabling caregivers to do what they do best — provide high-quality patient care.

subscribe to our blog