Improve the accuracy of your provider directories with Zelis Provider Data Accuracy
Reduce provider and member abrasion and comply with regulatory standards with accurate provider directory data. Provider Data Accuracy audits directory data to identify suspicious provider records and missing information and recommends edits to help payers ensure the accuracy of their directories.
Provider Data Accuracy goes further by identifying providers to fill access gaps made by cleanup efforts and protects validated data by excluding inaccurate data.
Stay ahead of regulatory pressures
Provider Data Accuracy regularly audits directory data to highlight inconsistencies and to help ensure compliance. It addresses the CMS’s common drivers of deficiencies by focusing on provider-location inaccuracies, serving as a routine oversight process for data validation, and using available data to target providers for investigation.