Problems We Solve
- Provider Data Management
Want better results? Start using better data.
Health care provider data is the ultimate moving target. It's difficult to collect. It's even harder to maintain. Resources to manage it are scarce. And identifying and fixing errors puts a drain on your business. Think about the time and money you'll save when you work with better data from the start. The better your provider data, the better your provider file, and the more successful your business will be.
- Directory Accuracy
Your directory doesn't get a second chance to make a good impression. We're experts at getting it right.
Bad provider data in your directory is bad business. When you include disconnected phone numbers and addresses that lead to dead-ends, you frustrate members. You could anger providers. And you could even harm your bottom line. When your provider directories are accurate and up-to-date, your members are happy. Your providers are satisfied. And you don't waste your time fixing bad data. Leave that to the experts, so you can focus on more important things.
- Master Provider File
Are master files getting the best of you? We make them easy to manage.
Managing your HCP customer master is the ultimate moving target. It's difficult to collect. It's even harder to maintain. And resources to manage it are scarce. Think about the time and money you'll save when you give your staff better data from the start. Improving provider data reduces duplications, errors, missing information, and inconsistencies, and alerts you to new practice locations. The better your customer master, the more successful your business will be.
- Targeted Account Selling
Is poor provider data hindering sales? Clear insight fuels sales strategy.
Your sales force is only as successful as the information they have to work with. Bad fax or phone numbers, bad contact information, specialty errors, and lack of accurate affiliation information all waste time, drain your business, and put you at risk for compliance issues. Arm your sales force with the detailed customer and affiliation information they need by bringing accurate provider information into view. Enclarity gives you the insight to plan your sales and marketing strategy with confidence.
- Compliance: Industry Benchmarks, State and Federal Reporting
Is bad data standing in the way of your compliance reporting? Better data means better results.
Your ability to achieve industry benchmarks and requirements can make or break your business. Don't let the quality of your provider data stand in the way of important metrics such as NCQA certification, PDQI, and ISO 9000. Improve your health care provider data with Enclarity and improve your business.
State and Federal Reporting
If you can't meet State and Federal reporting requirements, you're out of the game before it's even started. Enclarity can fix provider data so you're better able to track Aggregate Spend, Corporate Integrity Agreements, medical loss ratio, and late payment interest.
- Provider File Integration
Is your provider data running you? We pull it all together in a single view.
When your provider databases exist in silos, you can't get an accurate view of your health care providers. Eliminating duplicates, resolving inconsistencies, and rolling all the provider information you need together in one place isn't like flipping a switch. That's what makes Master Data Management (MDM) so hard. Don't let provider data manage you. Leave it to the experts at Enclarity.
- Provider Communications Delivery
Need to cut costs and improve provider communications? We can help.
Returned mail. Bad phone numbers. Unsecure fax numbers. Email bounces. If your provider communications aren't working as well as they should, Enclarity has the solution. We give you the most accurate, up-to-date health care provider contact information available to make sure your communications reach their targets. You save time and money with more reliable, secure, and measurable results.
- Network Growth and Analysis
Need to identify new healthcare providers to compete? New data gives you traction.
Network Growth and Analysis
Knowledge is power. The better you're able to identify who's missing from your provider networks, and who's contracting with your competition, the more successful your network strategy will be. Enclarity has correct, current and comprehensive information for every health care provider in the country.
- New Sales Opportunities
Need to identify new health care providers to compete? New data gives you traction.
New Sales Opportunities
If you can't identify the right providers, in the right locations, and in the right specialties and critical affiliations, you limit the effectiveness of your sales team. Count on Enclarity for the most complete and accurate set of health care provider data and affiliations in the business.
- Provider Validation and Status
Is poor provider data putting you at risk? It's time to take control.
Health care provider data is a moving target, and you often don't know what you don't know. You want to work with providers who are active and in good standing. But if you're not keeping up on provider data changes such as sanctions or license status, you could be at risk. Take control of your provider data with Enclarity. We'll make sure the information is right. And we'll keep it that way.
- Claims Accuracy and Missed Discounts
Are data issues putting a crimp in claims? Improve accuracy with Enclarity.
Inaccuracies in health care provider data within a claim. Bad master file data that hinders an accurate match. These drive errors, lost dollars, and costly manual intervention. Enclarity improves the accuracy of your provider data, so you can improve claims accuracy and auto-adjudication.
A missed discount is a wasted opportunity to serve your business and your members. When in-network claims are paid out-of-network, it costs members and payers more than it should. Let Enclarity help you identify provider data and process errors. And don't let another opportunity pass you by.
- Claims Data Warehouse Aggregation
Need to bring provider claims information into focus? Fuel insight with Enclarity.
If you can't recognize unique providers across claims and over time, you aren't seeing the whole picture. Which means you can't identify and aggregate their patterns of behavior. Enclarity brings claims data into focus so you can get the insights you need to optimize your provider networks.
- Credentialing Support
Need to streamline credentialing? Make it easier with Enclarity.
Credentialing is critical to your business. But it takes a great deal of time and effort. Enclarity can make the process easier by eliminating the need for certain external validation searches. We have the provider data. It's already validated. And we're URAC-CVO accredited. Count on Enclarity to give you the information you need to make credentialing more efficient and effective.
- Provider Data Management
- Payer, PPO, TPA
The better your health care provider information, the more effective your provider file.
It’s not the quantity but the quality of health care provider data that matters to payers, PPOs and TPAs. Quality provider information gives you a better provider file and helps you more effectively navigate activities related to the Affordable Care Act. And that translates to:
- Improved financial accuracy of claims processing
- Better provider networks and fewer missed provider network discounts
- More accurate provider directories
- Assuring you can meet industry benchmarks with lower operational costs
- Superior operational performance
- Life Science, Pharmaceutical, Medical Device, Biotech
Quality health care provider information leads to greater market share.
Missing or outdated information about health care provider specialties and critical affiliations puts your competitive advantage at risk. Armed with better health care practitioner information, you can move to account-based selling—targeting and reaching the right providers, at the right time, with the right information, and in the right way. You achieve compliance with Aggregate Spend, track Corporate Integrity Agreements and PDMA compliance. And you can manage your master provider file more effectively.
- Government and Exchanges
Better health care provider information translates into a better, integrated provider directory.
You rely on quality health care provider information for market insights that support research and decision-making. Good health care provider data gives you a more accurate, up-to-date and integrated provider directory. It lets you resolve provider identity issues when working with multiple provider files from different health care payers or Exchanges. And it improves your ability to build stronger provider relationships, serve health care consumers, increase productivity, and reduce operational costs.
- Providers, Hospitals, ACOs, and Health Systems
Better health care provider information fuels new business opportunities.
Health care provider information is essential to providers, hospitals, Accountable Care Organizations (ACOs), and health system operations. Correct, current and comprehensive provider information helps you not only identify and influence referring physicians, but also helps you find new opportunities to expand market share while improving financial performance. With it, you can improve service to your physicians and patients, while at the same time reducing costs and optimizing operational efficiency.
- Pharmacy Benefit Managers (PBMs)
Better health care provider information increases your competitive advantage.
As a Pharmacy Benefit Manager (PBM), your ability to compete depends on the quality of your health care provider information. Quality provider data helps ensure prescribers are appropriately licensed, active, and in good standing. When the health care provider information you work with is accurate, you can contact prescribers securely, for more efficient claims processing. You’re aware of provider specialties and critical affiliations, and are better able to meet regulatory compliance standards. And you have the information you need to gain competitive advantage.
- Analytics and Investigations
Better health care provider data provides essential insights.
Without quality health care provider information, you aren’t seeing the whole picture—which means you can’t effectively identify and address potential issues with your health care providers. Quality provider information reduces your risk of missing important insights by more effectively leveraging provider information in your claims data warehouse to detect fraud and other patterns of behavior. It also supports decision-making, improves regulatory compliance and data warehouse results while helping you resolve claims and payment issues more quickly and efficiently.
- Web Portals
Better health care provider data optimizes directory and search capability.
To deliver value, make sure you’re working with the most detailed, accurate, and up-to-date health care provider information available. By improving your provider data, you also improve the accuracy of your provider directories and your ability to communicate effectively with key constituents. Ultimately, better data leads to more engaged consumers, lower health care costs, and more informed health care decision-making.
- Property and Casualty and Workers' Compensation
Better health care provider information means fewer missed discounts.
Without quality health care provider information, you can’t get the data match you need to take advantage of discounted health care provider pricing. The better your provider information, the more effective your claims processing, the fewer missed network discounts, the lower your operational costs, and the better your operational performance.
- Payer, PPO, TPA
ProviderPoint is a proven, powerful hosted solution that gives you a systematic way to keep your provider information accurate and up-to-date while significantly reducing operating costs. It delivers unrivaled depth, breadth and quality information. Read more.
- Provider SelectFile®
Provider SelectFile is a subscription service delivering point-in-time provider information. With it you get unrivaled depth, breadth and quality of provider information, and the power to select the slices of data to fit your exact needs and specifications. Read more.
ViewPoint is the most reliable health care provider/organization (HCP) affiliation framework in the industry. By linking HCPs to the right group affiliations and Corporate Entities, we help you identify and understand the connections and forces driving treatment choices and referrals, so you can make informed business decisions in the ever-shifting health care market. Read more.
ProviderLookup gives you detailed, accurate and up-to-date demographic data on more than 6.5 million providers across the country. Log in at any time, from anywhere, using your secure password and ID. Read more.
- Enclarity Alerts
Enclarity Alerts assures that your master data has the most accurate provider information available. We do this by using our unique Enclarity ID™ to track providers against information in our Master Provider Referential Database. As we continuously monitor provider key identifiers, affiliations, credentials, contact and other information, you will receive proactive updates when critical data changes take place. Read more.
- ProviderPoint® Append
ProviderPoint Append accurately matches to your internal provider file to append the specific data attributes you need to know about your health care providers. Offered as a stand-alone data matching and appending service, ProviderPoint Append is ideal for customers who wish to append missing information or expand the depth of data in every provider record. Read more.
- Provider Data Integration Services
Provider Data Integration
Enclarity Provider Data Integration Services is a powerful provider data management solution that ensures consistency and accuracy for reporting, transactions, analytics and directories. Read more.
- Customer Master Data Management
Customer Master Data Management
Enclarity’s Customer Master Data Management solution systematically and cost-effectively reduces duplications, errors, missing information, and inconsistencies. We even send you alerts regarding new practice locations, so you know you’re always working with the best HCP information available. Read more.
- Enclarity Email Append
Enclarity Email Append
Enclarity Email Append is the only email service designed to offer reliable physician business email addresses and the flexibility to decide how you want to license them—by campaign, unlimited annually, or for perpetual use. Read more.
VeriFax assures you’re using a verified secure fax number for all your sensitive provider communications. The unique advantage that Enclarity VeriFax brings to the collection, verification and maintenance of verified secure fax data is our comprehensive database, which serves as our starting point for collection, verification and maintenance of verified secure fax data. Read more.
- Enclarity Web Services
Enclarity Web Services
Enclarity Web Services gives you an automated and systematic way to keep your provider information accurate and up-to-date on a transaction-by-transaction basis. It’s the best Enclarity solutions delivered in real-time API. Read more.
- Provider Transactional Targeting
Provider Transactional Targeting
Enclarity Provider Transactional Targeting gives you a comprehensive view of healthcare providers (HCPs) and organizations (HCOs) in your market, so you can identify and engage high-impact HCPs to gain competitive advantage. Read more.
- Network Optimization
Enclarity Network Optimization gives you the power of complete insight on overlaps and gaps within multiple networks and databases with a point-in-time file of accurate and timely provider information.Read more.
- Enclarity Claim Services
Enclarity Claim Services
Enclarity Claim Services helps you keep your provider information accurate and up-to-date, including:
- Enclarity ClaimCleanse™, an automated and systematic way to validate and address errors in provider information as each claim is submitted.
- Enclarity Claim Indexing, helping you identify and track your health care providers across all claims in your data warehouse, regardless of changes to name and business affiliation, TIN, Provider ID, practice, or billing information over time.
- Missed Discount Analysis, helping you identify claim errors so members and payers don’t pay more than they have to over time.
- Other Services
Enclarity offers an array of Provider Information Services built around your business needs, from custom provider data collection, consultation, data hosting or reporting. When you need information or support that requires correct, current and comprehensive provider information, but doesn’t quite fit our standard list of services, we can meet your provider information needs. Read more.
- Advanced Data Management and Technology.
Advanced Data Management and Technology. Right Now.
Accurate. Integrated. Actionable. We bring together the highest quality information, the best solutions, and proven results to give you the Enclarity Advantage.
- Most Trusted Source of Provider Information
Most Trusted Source of Provider Information. Right Now.
Correct. Current. Comprehensive. More organizations trust Enclarity for healthcare provider information than anyone else in the marketplace.
- Expert Data Services
Expert Data Services
Quality. Flexibility. Results. Our data scientists and healthcare specialists deliver solutions built around your unique business needs.
- Advanced Data Management and Technology.
- About Enclarity