Accurate, Essential Provider Demographics Payers Need in Real-Time
Imagine having access to a provider’s entire profile and a 15+ year history that is continuously updated from more than 20,000 primary data sources in real time. TruthMD’s MedFax healthcare data products deliver all of this essential provider information from practice locations and related licenses to disciplinary actions, and much more.
With nearly 900,000 physicians currently practicing in the United States, provider data must continuously be updated with basic demographic and licensing information, as well as the numerous new sanctions, fines, citations and disciplinary actions being issued every day.
TruthMD meticulously aggregates, curates and distributes demographic, practice, licensing, certification, investigation, disciplinary and legal record data on every provider in the United States across a 15+ year history into a single provider record at the NPI level. Our MedFax portfolio of products is continuously updated with this data in real time as new information becomes available, eliminating the days, weeks and potentially months it takes payers to perform primary source verification.
There is a constant and crucial need for payers to have a dynamic data solution to maintain an accurate provider directory and continuously monitor current network providers, while answering key questions such as:
Does a doctor have an active license in more than one state?
Has a doctor opened a new office or moved to a new location?
Is there a sanction or restriction on a doctor’s license?
The products you need to know about the providers you hire, acquire or maintain on your staff including detailed sanctioning history, licensing, eligibility and more.
Foundational provider demographic information advancing directory-digital experience and improving overall claims adjudication.
The unique power of understanding the complexities of doctor relationships with their practices and facilities, increasing network analytics, addressing adequacy requirements and creating a member worthy provider panel.
Real-time provider license and exclusion records delivered “At Time” for mandated sanction monitoring, primary source verification and network management, with data historically unified under a single NPI.
Applying the MedFax distinctive dataset with proprietary algorithms to identify fraudulent claims pre-payment, identifying potential Provider issues, creating a bad actor lead generator for a health plan’s SIU.