Why focus on provider data integrity?
Provider data powers your entire organization—accurate and complete provider data, including affiliation with line of business, plan, and product, is key to efficiently operating your business.
For example, did you know that 20-30% of claims can fall out of the auto-adjudication process, and an estimated 25% of those cases are due to provider data quality problems?
Accurate and complete provider contracting information is critical to for adjudicating claims. With poor provider data integrity, organizations will have more denied claims and lower rates of auto-adjudication, which gets expensive quickly.