From administering clean payments to helping members find in-network physicians, accurate provider data is the linchpin of a well-run health plan. When this data is flawed or incomplete, it sets the stage for disgruntled providers and frustrated members, as well as administrative waste.
Recently, one of Evolent's health plan partners needed help ensuring its provider data was accurate and complete. The plan’s provider rosters did not line up with its list of who they deemed in network, nor did the rosters line up with the respective provider reimbursement contracts.
Read this case study to learn how we helped the plan to overcome these challenges.