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PROVIDER DATA MANAGEMENT AND PROVIDER DIRECTORY SOLUTIONS

Centralize provider data and ensure accuracy

Health systems and health plans can elevate patient experiences and streamline operations with accurate and reliable provider data. Transform your fragmented information into a powerful asset that drives better healthcare outcomes with Kyruus Connect, a leading provider data management solution.

/ BETTER DATA MANAGEMENT

Drive transformation with provider data management

Boost operational efficiencies and improve patient engagement and access to care. Robust provider data management creates a foundation for digital access initiatives.

Explore Kyruus solutions that drive better healthcare access, improve patient-provider matching, & enhance overall care outcomes.

SOLUTIONS FOR HEALTHCARE ORGANIZATIONS

Leveraging Provider Data for Better Care Access

Unlock endless possibilities with a single, accurate view of your provider data. Improved data management and provider search empowers patients to find the right care through informed decision-making.

Provider Data Management for Health Systems

Transform your health system's inconsistent provider data into a single source of truth. With data scattered across various systems, it's a challenge to leverage its full potential. Kyruus Connect unifies disparate data to create an organized foundation that powers seamless experiences for internal stakeholders, external partners, and patients alike. This leads to improved workflows, optimized resource allocation, and enhanced collaboration, benefiting everyone within your health system.

Search for Healthcare Organizations

Empower patients to navigate their care journey with ease using Kyruus Connect's robust provider directory software. This advanced find care solution simplifies the search process, allowing patients to refine results based on personal parameters such as provider availability, insurance type, specialty, location, and more. By offering a dynamic and intuitive search experience, this provider directory solution ensures patients can easily find the care they need.

SOLUTIONS FOR HEALTH PLANS

Empowering Members with Reliable Provider Data

Provide members with accurate, accessible, and compliant provider information. With robust provider data management and a seamless search experience, they can confidently find in-network providers, understand service costs, and easily book appointments.

Provider Data Management for Health Plans

Fragmented or incomplete provider data negatively impacts members and business operations. Improve accuracy and boost engagement with Kyruus Connect Provider Data Solutions. This robust platform ensures your provider data is complete, accurate, and actionable, powering effective directories, reporting, and internal tools that benefit both your members and your business.

Search for Health Plans

Empower members to find the care they need with Kyruus Connect's comprehensive provider directory software. This solution features detailed provider profiles, rich with quality and review information, all within an easy-to-navigate provider directory solution. Search for health plans guides members to the right care based on their unique needs, personal preferences, coverage information, and costs.

/ ORGANIZE AND OPTIMIZE

Better provider data means better access to care

An optimized source of truth

Unify your disparate provider data into a single source of truth that can power limitless solutions.

Enhanced provider directory

Make your provider directory a valuable resource with rich information like photos, videos, and care philosophies.

Improved access to care

Help patients find the right provider and book appointments online with ease.

Streamlined operations

Automate tasks and workflows to save time and improve efficiency for your teams.

Data-driven insights

Leverage your provider data to gain valuable insights for reporting and analysis.

Regulatory compliance

Ensure your provider data is accurate and up-to-date to meet industry regulations.

/ PROVIDER DATA MANAGEMENT RESOURCES

Drive transformation with provider data management

Unleash the Power of Provider Data: Gain Operational Efficiencies and Improve Care Access

Provider Data Management Webinar | Health System CIO     Provider data management for

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Provider Data Management Guide for Payers

Making the Business Case for Provider Data Management: A Comprehensive Guide for Payers

Provider Data Management: A Key to Health Plan Financial Health Capturing and maintaining accurat

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FAQs

What is healthcare provider data management?

Provider Data Management is the consolidation of disparate provider or location data into a single source of truth. Once the source of truth is created, organizations can put strategies into place around the governance and upkeep of the provider data so that it can be properly maintained over time.

Why is accurate provider data important?

Accurate provider data is essential for driving better outcomes across the healthcare ecosystem. It lays the foundation for better access to care and helps health systems and health plans connect patients with providers who meet their needs. In addition, accurate data can helpproviders schedule the types of cases they’re trained for, allowing them to practice at the top of their license and increasing professional satisfaction. And for health plans, it powers a more positive member experience and ensures members can find in-network care.

For more details, see Why Health Systems and Health Plans Should Prioritize Provider Data Management.

What are common challenges in provider data management?

Managing provider data presents several challenges due to its complexity and constant evolution. It’s often fragmented across multiple systems like EHRs, credentialing platforms, and spreadsheets, making it hard to maintain consistency and accuracy. Additionally, provider data is dynamic, with frequent changes in provider information such as locations, credentials, and affiliations. These challenges can lead to operational inefficiencies, billing errors, and compliance risks.

For more details, see Healthcare Data Management: Mastering the Complexity of Provider Data.

What are the benefits of implementing a robust provider data management system?

A robust provider data management system offers distinct benefits for both health systems and health plans. For health systems, it improves patient access, enhances provider matching, and streamlines operations, ultimately leading to better care coordination and network management. Health plans benefit from accurate provider data by ensuring regulatory compliance, improving member experience through reliable directories, and reducing billing errors and claim denials.

For more details, see Why Health Systems and Health Plans Should Prioritize Provider Data Management.

What technologies are used in provider data management?

Provider Data Management (PDM) relies on technologies like master data management (MDM) systems, data integration tools, and cloud-based platforms to centralize and streamline provider data. AI and machine learning help automate data validation and enrichment, while APIs and data exchange standards enable secure and efficient data sharing across systems. Additionally, data governance and security tools ensure compliance with regulations and protect sensitive provider information.

For more on the relationship between provider data management and MDM, see Healthcare Data Management: Mastering the Complexity of Provider Data.

How often should provider data be updated?

Provider data should be updated regularly, with a clear process in place to manage changes. Key events—such as updates to provider contact information or network participation—should trigger immediate revisions. For health plans in particular, the No Surprises Act mandates quarterly verification of provider data and requires any necessary updates to be made within two business days. 

For more details, see Why Health Systems and Health Plans Should Prioritize Provider Data Management.

What compliance regulations impact provider data management?

Health plans must comply with federal regulations like the No Surprises Act and CMS guidelines, which require validating provider information at least every 90 days and correcting errors within two business days, as well as NCQA standards that call for verification every six months. Many state-level laws impose additional directory accuracy requirements, such as more frequent updates or stricter penalties for errors.  While these directory rules don’t directly govern health systems, they must comply with HIPAA for data security and often follow Joint Commission and credentialing standards to keep provider information current and accurate, especially when participating in payer networks or delegated credentialing arrangements.

Link to potential resource: Surprises Aren’t Just for Birthdays – No Surprises Act Transparency and Directory Requirements

How does provider data management impact patient access to care?

Provider Data Management plays a crucial role in improving patient access to care by ensuring provider information is accurate, complete, and easy to find. Up-to-date directories enable patients to quickly identify providers who match their clinical needs, practice at convenient locations, and have availability. This reduces barriers to booking appointments, shortens wait times, and supports timely, appropriate treatment. In contrast, inaccurate or outdated data can lead to care delays and frustrated patients and providers.

What are best practices for maintaining provider data quality?

Best practices include centralizing provider data in one repository and establishing clear data governance policies to ensure consistency and accuracy across systems. Involve other departments, particularly those that own or manage provider data, and communicate the importance of their role. Another best practice is using technology to automate integration between trusted sources, such as EHRs and credentialing systems, ensuring data stays current across all systems. Technology can also provide self-service tools that allow providers to easily update and manage their information, improving data accuracy. Finally, using analytics to identify trends and gaps in the data improves its completeness and enhances patient access to care.

Learn how Kyruus Connect can unleash a world of possibilities for your health system or health plan.

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