PROVIDER DATA MANAGEMENT

Avoid Expensive No Surprises Act (NSA) Disputes With Accurate Provider Data

What Is A Health Plan Required To Do?

Network Maintenance | surprise billing | no surprises act | nsa | cms compliance

Network Maintenance

Of Provider Directory Information

Launch a Verification Process | surprise billing | no surprises act | nsa | cms compliance

Launch a Verification Process

To Update Provider Directory Quarterly

Remove Unverified Providers | surprise billing | no surprises act | nsa | cms compliance

Remove Unverified Providers

Implement a Process Quarterly

Directly Update Providers | surprise billing | no surprises act | nsa | cms compliance

Directly Update Providers

For Provider Directory Information Within 2 Days of Receipt From the Provider

Implement a Response Protocol | surprise billing | no surprises act | nsa | cms compliance

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 | surprise billing | no surprises act | nsa | cms compliance

Post Balance Billing Protections

NSA Allows Individuals to Waive Balance Billing Protections for Certain Services

Talk to our No Surprises Act Expert

Saru Seshadri Founder & CEO

Saru Seshadri

Founder & CEO

Saru Seshadri Founder & CEO

Saru Seshadri

Founder & CEO

Solution Highlights

Provider Data Management | system of Truth | medical data systems

Single-Source System of Truth

with powerful dashboards

to meet NSA Provider Data Management requirements

for provider network data

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.

health plans | pure4 | how it works chart | verifiable data | medical database
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