Healthcare leaders depend on accurate and up-to-date provider information. Without accurate, up-to-date information where it is needed, claims are delayed or paid at the wrong amount, directories are incorrect, mail is returned, research takes too long and call volume increases as members and providers become frustrated. As a result, your costs rise as operations become less efficient - and you become less profitable.

 

Healthcare leaders - including 4 of the top 10 payers and many top PPOs and Blue Cross Blue Shield plans - are already using Enclarity's information solutions to get the correct, current and comprehensive information about healthcare providers they need. Enclarity's solutions enable many types of organizations to become more efficient, productive and profitable, including:

 

• Insurers
• Medical
• Auto
• Worker's Compensation
• Disability
• PPO Networks
• Blue Cross Blue Shield Plans
• Consumer-oriented healthcare Web sites
• Electronic Claims Transmitters and Clearinghouses
• Repricing Companies
• Recovery Vendors
• Billing Services
• Hospital Systems
• Large Medical Delivery Systems (labs, chain drug stores, dialysis, etc.)
• Information Exchanges, including RHIOs
• Device and Equipment Manufacturers
• Pharmaceutical Companies
• Retail Pharmacies

 

Powered by Enclarity, businesses in these industries are solving many business problems to drive revenue, reduce operational overhead, improve accuracy and throughput, increase productivity, efficiency, member and provider satisfaction, and achieve industry and regulatory compliance for HIPAA, NPI, PDQI, NCQA and more.

 

How can Enclarity help your business? Visit our Value Section to learn the many ways that Enclarity's suite of solutions can increase the return on investment in your operations.

 

In this section, you will find examples of how Enclarity is making a difference for its clients.

 

No More Dead Doctors in Provider Directories tells the story of how a regional health plan turned to Enclarity to correct the 50 percent error rate in its provider file. In helping the client, Enclarity discovered over 300 deceased providers in their database.

 

250,000 Incorrect Provider Records Fixed Overnight is a case history in which Enclarity found over 77 percent of a new client's provider records contained errors and were fixed overnight.

 

Correct and current information is a competitive edge shows how Enclarity is helping InterGroup Services Corporation, one of the nation’s leading regional PPOs, to improve the quality of its provider master file, and relations with providers and plan members.