Vistar offers a powerful web-based solution with comprehensive end-to-end functionality for integrated provider management.
Self-Service Tools to
Support the Provider Community
Field-level Security and Auditing. Flexible Single- and Multi-Entity Configuration
Network & Provider Relations
Simple query/report development and export on all data
Standard and customized inbound/outbound system interfaces
Online applications, 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), and The Joint Commission (TJC) with continuous monitoring, PSV standards, and automated targeted verification.
Web-based tools for medical director review simplifies committee preparation and approvals.
Track line of business details including providers ID's, date ranges, tax identifiers, services, and payment details.
Easily 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.
Vistar’s Contact Management features allow for a complete view of all details associated with a provider.
All interactions and relationships can be easily managed, education and provider visits are easily supported, and can be measured for program success.
With Vistar, integration and SOA become the cornerstone for business operations and intelligence.
Leverage industry data sources such as CAQH, SAM, QRXS and 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.
The Vistar quality improvement tools help you simplify the collection and analysis of plan and practitioner performance information, including patient satisfaction surveys, site visits and pay-for-performance standards.
Track and analyze key indicators in accordance with HEDIS, CMS, NCQA, and URAC standards. Develop standard and focused reviews for quality surveys and reviews and OPPE/FPPE.
Simplify and expedite the enrollment process with forms population, expirables management, tracking, alerts, and overall workflow automation.
Vistar Provider Management Platform
“It is without reservation that I recommend Vistar Technologies and their system. From initial planning, testing and implementation through updates, upgrades, and new products and services the Vistar team has been a responsive and knowledgeable collection of professionals.”
Kenneth Payne Medical Mutual of Ohio