Product Listings
HealthShare is a software designed to facilitate the aggregation, normalization, and sharing of health data across diverse systems and care settings. The software supports interoperability between electronic health records, laboratories, and administrative platforms, enabling organizations to create unified clinical and patient records. HealthShare offers tools for care coordination, population health management, and analytics, assisting healthcare providers and payers in managing data exchange, improving care collaboration, and supporting decision-making processes. By integrating data from multiple sources, the software addresses challenges associated with fragmented health information and aims to streamline workflows within healthcare organizations.
Kyruus Connect connects, organizes, and harnesses your provider, location or cost data to power a suite of solutions to engage consumers and streamline care access.
The power of optimized provider data, paired with Kyruus Health consumer-facing applications including Search, Cost, Schedule, Reviews, Rewards and Check-In, helps provider organizations and payers drive engagement, decision making, and seamless experiences for healthcare consumers and employees alike.
The robust, care access platform, creates better access to care, reduces costs, streamlines operations and boosts consumer satisfaction.
NewgenONE Provider Data Management, built on the AI-first low-code platform, centralizes and governs provider information to support accurate, compliant, and scalable operations for healthcare payers. The solution, part of NewgenONE Provider Lifecycle Management (PLM) suite, consolidates provider demographics, credentials, contracts, hierarchy, and relationship data into a single source of truth, reducing data silos and improving integrity across systems.
It leverages AI/ML to automate data capture, deduplication, and variance screening, identifying discrepancies and initiating review workflows when data fails validation. Integrated analytics and reporting tools provide visibility into provider performance and data quality, while full update history and audit trails support compliance readiness, including regulatory directory standards.
Availity Essentials is a software designed to facilitate administrative and clinical data exchange between healthcare providers and payers. The software offers features that include eligibility and benefits verification, claims submission and tracking, secure messaging, and payment management. By integrating these functionalities, the software aims to streamline workflows related to revenue cycle management and reduce errors associated with manual processes. Availity Essentials enables healthcare organizations to improve the accuracy and efficiency of critical transactions, helping address common challenges in healthcare data interoperability and administrative coordination.
Availity PDM is a software designed to manage and maintain provider data within healthcare organizations. The software facilitates the collection, validation, and distribution of up-to-date provider information across health plans, networks, and other stakeholders. By automating workflows and reducing manual processes, the software helps address challenges associated with inaccurate provider directories and regulatory compliance. Availity PDM aims to improve operational efficiency by centralizing provider data and ensuring its accuracy, which can support credentialing, claims processing, and network management efforts within the healthcare industry.
CAQH Provider Data Management is a software designed to help healthcare organizations streamline the collection, management, and maintenance of provider information. The software enables providers and administrative staff to update and validate key data elements such as contact information, credentials, and practice locations. Through centralized data repositories and automated workflows, the software reduces manual data entry and duplication, contributing to greater data accuracy and operational efficiency. It supports regulatory and compliance requirements by facilitating timely updates to provider directories, thereby addressing the challenge of maintaining current and accurate provider information in healthcare networks. The software assists organizations in mitigating credentialing delays and improving the overall quality of provider data used in claims processing and network management.
Constellation4 Provider Data Management is a software designed to streamline and centralize provider data within healthcare organizations. The software enables institutions to maintain accurate and up-to-date records by automating data entry, validation, and updates for provider credentials, affiliations, and contact information. It supports compliance and regulatory requirements by facilitating regular audits and ensuring data integrity. Organizations utilizing the software can address the challenge of managing disparate provider data across multiple systems, reducing errors and administrative overhead. The software offers configurable workflows that help coordinate provider onboarding and enrollment, improving operational efficiency and supporting reliable data-driven decision-making in healthcare administration.
Coperor is a software designed to manage and streamline data integration, governance, and quality within enterprise environments. The software focuses on consolidating data from multiple sources, enabling organizations to create unified and consistent data sets for business operations and analytics. Coperor facilitates data validation, transformation, and enrichment, helping organizations maintain accurate and reliable information across systems. It also includes features for data lifecycle management, lineage tracking, and compliance with regulatory requirements. By automating data-related processes, the software addresses challenges related to data silos, duplication, and inconsistency, supporting more informed decision-making and efficient business workflows.
Infosys Helix Provider Lifecycle Management is a software designed to support healthcare organizations in managing the full lifecycle of provider data and relationships. The software enables organizations to automate processes related to provider onboarding, credentialing, network development, and ongoing compliance management. It offers features for capturing and maintaining provider information, tracking document expiration, monitoring regulatory requirements, and ensuring accurate data synchronization across internal systems. By streamlining provider management workflows, the software aims to help organizations reduce administrative overhead, improve data quality, and address challenges associated with regulatory compliance and operational efficiency in provider network administration.
LexisNexis MarketView delivers medical claims-based intelligence to life sciences, providers, pharmacies, healthcare IT and payer organizations across the United States.
MarketView can help transform key business work streams including marketing, sales, strategic planning, physician relations and outreach, market research, network optimization, recruitment, pricing, contracting, clinical teams and more.
MarketView brings together insights and intelligence across the patient experience fueled by de-identified medical claims.
LexisNexis Provider Data Enhancements matches, links, de-dupes and augments provider records with the most current information available from the LexisNexis Master Provider Referential Database.
LexisNexis Provider Data MasterFile is a centralized referential database that improves and evolves daily by ingesting, verifying and integrating incoming data including proprietary data collection and outreach findings. The quality data drives processes and empowers users to make informed and confident business decisions.
The LexisNexis breadth of data covering all healthcare provider types, corporate entities and our depth of data including critical attributes help our clients run their business with confidence.
Provider Data Validation is a web-based, real-time provider information search service that leverages the most current, comprehensive and accurate provider data.
It provides healthcare organizations with an efficient means to research new providers, health systems and affiliations to help claim/service operations, or assist with credentialing and provider data maintenance. Reliable and comprehensive provider data is essential to process claims and maintain workflows like network management, compliance, out-of-network provider screening and review, credentialing, and outreach. It helps healthcare organizations keep systems of record up to date and to fill in gaps in the existing data.
LexisNexis ProviderPoint is a solution for healthcare provider file cleansing, augmentation and integration. It's depth, breadth and quality of data is easy to integrate and use. With ProviderPoint, you'll receive all the information you need to ensure your data is accurate, up-to-date and properly integrated into your operations. It's powered by the Master Provider Referential Database, which uses thousands of referential and transactional data points.
This solution delivers a clean file ready for easy integration into your systems giving your healthcare organization a competitive edge.
MacroHealth Platform is software designed to optimize healthcare network performance for payers and providers. It integrates data from various sources, allowing users to compare and analyze healthcare networks, contracts, and pricing models. The software supports network design and management by providing insights into cost, access, and coverage across medical, dental, vision, and other benefits. MacroHealth Platform aids organizations in identifying network opportunities and gaps, enhancing transparency and collaboration among stakeholders. It enables users to model and simulate network changes, forecast outcomes, and streamline decision-making processes within healthcare benefit administration. The software addresses challenges related to network complexity and efficiency, assisting organizations in refining their strategies for delivering healthcare benefits.
Designed for health plans, the MedInsight Payer Platform empowers users of all levels to unlock the full potential of their data and address diverse business questions with a single source of truth. A dynamic platform seamlessly combines actionable insights, deep learning data analysis, and intelligent solutions within an intuitive interface and is firmly grounded on Milliman methodologies. No matter the role – data analyst, data scientist, or information consumer – the Payer Platform provides data insights that drive informed decisions.
NTT DATA Provider Data Management software enables organizations to efficiently manage and maintain accurate provider data across healthcare networks and systems. The software streamlines processes for provider data onboarding, validation, and updates to ensure the integrity of directories and claims management. It helps address business challenges related to data quality, regulatory compliance, and operational inefficiencies caused by fragmented or outdated provider information. The software offers features such as automated data collection, robust analytics, and integration capabilities with existing enterprise solutions, supporting organizations in reducing manual effort and improving overall provider data accuracy and reliability within their workflows.
Prime Provider Data Accuracy and Validation Services is a service that focuses on verifying and maintaining the accuracy of provider data within healthcare organizations. The service uses a combination of automated and manual processes to validate provider credentials, demographics, and other relevant information essential for healthcare operations. It addresses common business challenges such as data discrepancies, inefficient workflows, and compliance risks by ensuring that provider records are up-to-date and accurate. The service supports organizations in reducing operational inefficiencies related to inaccurate provider data, enhances regulatory compliance, and assists in meeting payer and network requirements by streamlining the process of provider information management.
