Availity Provider Data Management For Health Plans
Provider Data Management

A better way to capture provider information

Provider Data Management (PDM) offers an easy-to-use way for your providers to update, validate, and attest to the accuracy of their information. Why is it easy? Because they can do all of these things within their existing Availity workflow. When there’s a mismatch between information the provider is submitting and what the health plan has on file, PDM sends a notification prompting the provider to update the record. This information can then be sent to all of the provider’s contracted health plans, ensuring every stakeholder has the most current information.

Features

  • Multi-payer platform allows providers to make updates once and have that information sent to all participating health plans.
  • Availity intelligent gateway monitors billions of healthcare transactions to identify data anomalies between what the provider submits and what the health plan has on file.
  • Provider data updates are sent to each participating health plan in the format and structure that health plan needs.
  • Provider education gives providers information about patient quality and risk adjustment processes.

Benefits

  • Improves provider data accuracy by getting information directly from the provider, rather than a third-party data aggregator.
  • Reduces costs associated with annual credentialing services.
  • Mitigates compliance risk from inaccurate provider directories.
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See how PDM offers a better way for providers to update, validate, and attest to the accuracy of their information.
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