symplr's Provider Data Management software offers a powerful web-based solution with comprehensive end-to-end functionality for integrated provider management.
Automated Payer Enrollment
Self-Service Tools to
Support the Provider Community
Comprehensive Security and Auditing, HITRUST Certified
Network Management and Provider Relations
Simple Query/Report Development
Standard and Customized Inbound/Outbound System Interfaces
symplr provides the highest level of provider credentialing functionality. Online provider initial and re-credentialing application submission and intake, rules-driven primary source verification (PSV), and automated workflows will shorten your cycle time.
Stay in compliance with regulatory agencies such as Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Committee (URAC), and The Joint Commission (TJC) with continuous monitoring, PSV standards, and automated targeted verification, including DEA licenses.
Web-based tools for medical director review simplifies committee preparation and approvals.
Track lines-of-business (LOBs/Network) details including providers ID's, date ranges, contract relationships, tax identifiers, services, panel statuses, and directory flags.
Accurately maintain the data to support claims system configuration and/or billing initiatives. Network management tools and reporting will allow you to instantly create networks and evaluate network adequacy.
Our comprehensive Contract Management tool allows for streamlined end-to-end contract processing, including negotiation, generation, and automation of contracts.
Dashboard alerts/tasks and reports allow for timely processing and accurate monitoring.
With symplr, integration and SOA become the cornerstone for business operations and intelligence.
Leverage industry data sources such as CAQH, SAM.gov, QRXS, NPPES, and various state boards via automated interfaces.
Multiple data sources such as clinical and claims systems data, delegated entities, and contract entities will be integrated with client-specific business rules and logic services layer.
Connect incident management, patient event reporting, provider performance management, and peer review with Quality Issue Manager, a web-based workflow and reporting solution that tracks any grievance or complaint from inception to outcome.
Configurable to include your own policies, procedures, bylaws, and severity levels, this module helps you meets organizational goals and comply with NCQA standards, with complete data security. It is the only product that provides online quality issue reporting and a configurable performance management system with peer review workflow by user type.
Simplify and expedite the enrollment process with plan mass insert functionality, automated forms population, status history tracking, alerts, and overall workflow automation for improved turnaround times.
symplr Provider Management Platform
“It is without reservation that I recommend symplr. From initial planning, testing and implementation through updates, upgrades, and new products and services the symplr team has been a responsive and knowledgeable collection of professionals.”
Kenneth Payne Medical Mutual of Ohio