U.S. Healthcare Payers’ Provider Network Management Applications Reviews and Ratings

What are U.S. Healthcare Payers’ Provider Network Management Applications?

PNM applications are payer-industry-specific tools that assist payers’ IT and business teams. They help: Identify optimal providers before provider enrollment submissions are initiated, and deliver capabilities for ongoing provider performance comparison. Manage complex relationships and contracts with in- and out-of-network healthcare providers by tax ID and provider locations, respectively. Enable contracting and credentialing...

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Availity is focused on improving communication in the healthcare sector. The company develops an intricate network designed to aid in the transparent exchange of information among health plans, providers, and technology associates. As a leading...
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Optum, which now includes Change Healthcare, focuses on improving health system efficiency and aiding individuals in leading healthier lives. The key business problem these teams aim to resolve involves enhancing the functioning of the healthcare...
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Clarify Health is a healthcare data and analytics company focused on unlocking valuable insights to make complex care decisions easier for providers, payers, tech and services organizations, and life science companies. The Clarify Atlas Platform(R)...
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Clarify Health is a healthcare data and analytics company focused on unlocking valuable insights to make complex care decisions easier for providers, payers, tech and services organizations, and life science companies. The Clarify Atlas Platform(R)...
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Constellation4 is a technology firm that specializes in health sector solutions. The organization's main focus lies in efficiently solving common operational challenges faced by health insurance companies and healthcare providers. Using Salesforce Health Cloud, Constellation4...
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Constellation4 is a technology firm that specializes in health sector solutions. The organization's main focus lies in efficiently solving common operational challenges faced by health insurance companies and healthcare providers. Using Salesforce Health Cloud, Constellation4...
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Infosys is a company concentrated on providing digital services and consultation on a global scale. Originating from over 30 years of managing the infrastructures of significant global corporations, Infosys guides businesses through their digital transformation...
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MacroHealth is a company that concentrates on simplifying the purchasing and offering of healthcare services. The primary business problem the company resolves is optimizing healthcare pricing and payments by providing a Marketplace-as-a-Service platform. The platform...
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NantHealth, part of the NantWorks ecosystem, offers enterprise solutions assisting businesses in turning multifaceted data into usable insights. The primary focus lies on efficient data transference, interpretation, and visualization. This makes operational tasks simpler for...
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Newgen is a company that specializes in providing a unified platform for digital transformation. This includes capabilities in process automation, content services and communication management. Its low code application platform is relied on globally, allowing...
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Virtusa Corporation is a provider of digital engineering and technology services to globally operating companies. Through an 'Engineering First' approach, Virtusa aims to turn concepts into practical applications, enabling innovative solutions to critical business problems....
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Vee Technologies, established in 2000, is a consulting and professional services organization based in New York City. The firm maintains technology hubs in Bangalore with service centers located in the Philippines, Salem, Hyderabad, and Chennai....
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Simplify Healthcare is a company offering a broad range of products designed to assist payers in managing their healthcare benefits and provider interactions. The firm is powered by the Simplify Health Cloud™, a scalable, enterprise-grade,...
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Salesforce is a company that integrates artificial intelligence with customer relationship management and data to create solutions for customer-related concerns. Salesforce's primary business problem is to enhance the interaction between businesses and their customers by...
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Symplr is a company primarily focused on simplifying complex healthcare operations. The firm designs and develops the required tools to successfully deploy and streamline healthcare operations. Symplr aims to work collaboratively with healthcare providers to...
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Symplr is a company primarily focused on simplifying complex healthcare operations. The firm designs and develops the required tools to successfully deploy and streamline healthcare operations. Symplr aims to work collaboratively with healthcare providers to...
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Symplr is a company primarily focused on simplifying complex healthcare operations. The firm designs and develops the required tools to successfully deploy and streamline healthcare operations. Symplr aims to work collaboratively with healthcare providers to...
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Virsys12 is a consulting partner that focuses on implementing innovative technology solutions to solve complex problems in the healthcare sector. This company tackles issues of operational platform implementation, integrations, custom applications, and technology strategy across...
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Virsys12 is a consulting partner that focuses on implementing innovative technology solutions to solve complex problems in the healthcare sector. This company tackles issues of operational platform implementation, integrations, custom applications, and technology strategy across...
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