Enclarity ProviderPoint is a proven, powerful hosted information solution that delivers correct, current and comprehensive information about healthcare providers.

 

Provider information is constantly changing. With physicians and other providers moving and working from multiple locations, more than 25 percent of provider demographic information changes each year. As a result of those demographic changes and other changes in data, 30 to 40 percent of a typical healthcare organization’s provider records have missing or inaccurate information.

 

Keeping track of ever-changing provider information across the variety of provider types and locations is an ongoing process, not a one-time project. This specialized area is not a core competency of internal IT staffs or even the leading IT consultants. To be successful, you must first find, and continually monitor, thousands of information sources. You then must effectively apply sophisticated standardization, cleansing and database techniques to prepare the data. And you need all this just to be ready to use the advanced analytical methods required to accurately match records and to determine which sources contain correct, current data for each attribute. Some critical issues, such as establishing and maintaining the right associations between providers and groups, also require an up-to-date and in-depth understanding of industry-specific data sources and practices.

 

With that done, you’ve only reached the point where the information is ready for use in your operations. To realize value in claims processing, provider directories, network analysis and other vital areas of your business, you must match and integrate the data with all the internal sources and systems that require it, and deploy it all the points of service where it is needed.

 

It’s a difficult problem to solve. But, it’s one worth solving. By increasing the integrity and reliability of your provider records, and keeping them that way, you can greatly increase the productivity and profitability of your operations.

 

That’s why Enclarity ProviderPoint is so important. ProviderPoint gives you a systematic way to keep your provider information accurate and up-to-date while saving you the cost and time of a significant ongoing project. Only ProviderPoint solves your provider information problem for you, delivering all the information you need about your providers and making it easy to properly integrate it into your operations so your business runs on current, correct and comprehensive provider information.

 

More payers trust ProviderPoint than any other provider information solution

 

ProviderPoint delivers an unrivaled depth, breadth and quality of information in a way that is easy to for you to integrate and use. ProviderPoint is trusted by more healthcare payers than any other solution because it delivers measurable value in many applications, including:

 

• More efficient claims processing with improved financial accuracy
• Cleaner provider directories
• Better network analysis and management
• Improved communication with providers
• Reduced costs associated with mailings and phone call volume
• Improving customer, member and provider satisfaction while saving time and money by increasing staff productivity in claims, customer service, provider data maintenance, IT and other areas

 

Industry experts also understand how valuable ProviderPoint is. Frost & Sullivan, a leading global growth consulting and IT analyst company selected ProviderPoint as the winner of its 2007 Global Excellence in Healthcare Information Technology Product of the Year Award. In its report, Frost & Sullivan stated that ProviderPoint gives healthcare payers a unique competitive advantage, and lauded its impact in enabling accurate provider information and increased transparency within the healthcare industry.

 

Be ready for the National Provider Identifier

 

With ProviderPoint, you can comply with the National Provider Identifier (NPI) mandate. ProviderPoint crosswalks your provider records with NPI Type 1 and Type 2 information, including accurate matches of Type 1 numbers to individuals, matches of sub-parts to parent to connect all NPI numbers associated with a Type 2 entity, and taxonomy information. (To learn more about the National Provider Identifier, please visit our NPI Industry Information Page.)

 

ProviderPoint delivers provider information that makes your business more efficient

 

ProviderPoint cleans and enhances your provider files with information from Enclarity’s Master Provider Referential Database, which uses Enclarity’s innovative AcuSync™ process to leverage thousands of referential and transactional data sources. AcuSync uses advanced analytical and database methods to efficiently and reliably standardize, match and join data from different sources, and then produce a provider profile that contains the best available information. We even systematically verify demographic information via phone calls to ensure that the information you receive is of the highest quality.

 

When Enclarity receives your provider file, it uses the AcuSync process to clean and augment your file – overcoming errors and missing data to match your records to the Master Provider Referential Database, and identifying and replacing inaccurate, duplicate and incomplete records. It also adds to your file, filling in missing data attributes. Enclarity’s data scientists work with you to establish business rules that govern what updates, corrections and augmentations happen automatically, and where your staff’s expertise will come into play. After those rules are applied, ProviderPoint delivers a clean provider file ready for easy integration into your systems.

 

In addition to the demographics and key identifiers about all types of healthcare providers including doctors, dentists, chiropractors, physical therapists, facilities, labs, pharmacies, and others, ProviderPoint gives you:

 

• The ability to predict and measure improvements in information quality and the associated return on investment
• NPI Type 1 and Type 2 information, including accurate matches of Type 1 numbers to individuals, matches of sub-parts to parent to connect all NPI numbers associated with a Type 2 entity, and taxonomy information
• The creation of persistent identifiers that enable provider tracking without a legacy indicator
• Updates on a frequency that meets your business needs, with fast turnaround time, typically 24 hours from receipt of file
• Confidence scores, a phone verified indicator and the ability to apply custom business rules to ease integration and establish next steps
• Implementation and integration expertise, and ongoing support from an assigned Account Management team
• The availability of related solutions, including Enclarity ProviderLookup™, our Web-based solution that provides claims staff, adjusters, customer service and others with a single source of information about individual providers

 

Better information means better results

 

It's time you discovered the power and value of ProviderPoint. Only ProviderPoint can assure you that your provider information is correct, current and comprehensive - and keep it that way. Your provider directories can improve dramatically. Your network analysis can be more insightful. Claims processing can be more automated, and with better financial accuracy. Communication with providers and members can improve. And the number of calls and mailings you make today can be significantly reduced.

 

With ProviderPoint, your operations can be more efficient and profitable. Your customers, members and providers will be happier - and so will you. So take the next step. You'll be amazed at what ProviderPoint can do to help your business.