For Health Plans

With mounting administrative costs and an increasingly competitive marketplace, efficient and accurate data solutions are becoming critical to health plans as they search for ways to increase operational efficiencies and improve customer experiences.

The Data Solution Conundrum

For decades, physicians have provided more than 90% of the information used in provider directories. Physicians also self-report much of the information used in network development, credentialing, contracting and operations. Some of this information, such as their license or board certification, is easily verified. But the hardest part is not verifying what they told you – it’s discovering what they didn’t.

Did you know that physicians with licenses in multiple states are 228% more likely to be sanctioned than physicians licensed in a single state?

Before MedFax, there was little Health Plans could do to verify demographics. With MedFax data solutions, health plans can see complete and integrated physician profiles, and close those loopholes without dedicating weeks or months to costly and labor-intensive manual research.

MedFax is the leading source of Provider information in the U.S.

MedFax continually aggregates real world data from more than 10,000 primary sources, creating the first, truly validated, trustworthy, actionable tool for the healthcare industry to understand and update data on their providers from nurses to neurosurgeons...all in real time.

Health plans quickly access a provider’s complete, validated demographic profile and 10+ year practice history while constantly monitoring primary data sources for up-to-date license, exclusion, lawsuit and claims records.

Providing data solutions, Developing 95-percent Accurate and Credentialed Provider Networks

MedFax data solutions are designed for health plans and payers. The need for accurate and real-time date is crucial as government compliance focuses more and more on provider directory accuracy and sanctions monitoring.

MedFax provides the solutions, simply and seamlessly, while reducing the potential of costly fines and sanctions due to bad provider data.

MedFax data solutions are simple to integrate within any IT environment and system, with solutions provided as a Software-as-a-Service, in a dedicated Cloud, as flat files, and APIs.

Learn more about key MedFax’s data solutions including:

MedFax Provider Core© and Affiliates© – Delivering health plans 95-percent accurate provider data from more than 10,000 primary sources in real time.

MedFax Provider Spotlight© – Ensure your physician registry is always up to date and your identity management system is synced with your registry. In addition, instantly remove any physician presenting risk to your practice or your facility from your registry and IDM.

MedFax Provider Detector© – Investigating fraud, identifying potential Provider issues

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