PROVIDER DATA MANAGEMENT
Avoid Expensive No Surprises Act (NSA) Disputes With Accurate Provider Data
What Is A Health Plan Required To Do?
Network Maintenance
Of Provider Directory Information
Launch a Verification Process
To Update Provider Directory Quarterly
Remove Unverified Providers
Implement a Process Quarterly
Directly Update Providers
For Provider Directory Information Within 2 Days of Receipt From the Provider
Implement a Response Protocol
Ensure a Providers’ Network Status Request is Responded Within 1 Business Day and Communication is Maintained for 2 Years
Post Balance Billing Protections
NSA Allows Individuals to Waive Balance Billing Protections for Certain Services
Talk to our No Surprises Act Expert
Solution Highlights
Single-Source System of Truth
- Reconcile with our curated data
with powerful dashboards
- Verify provider data
to meet NSA Provider Data Management requirements
- Build a reliable source of truth
for provider network data
- Avoid expensive No Surprises Act disputes
with accurate provider data
How Our Provider Data Management Platform Works
Our platform collects provider data from multiple sources, both public (CMS, medical boards, state data) and private (network directories, roster files), and aggregates them. The platform curates over 7 million provider data records, using powerful and proprietary AI tools built on AWS technologies. Leverage our platform for your NSA needs.
