RP Sanjiv Goenka Group

Provider Data Management

October 29, 2021

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Provider data is constantly evolving. Approximately 2.4% of Provider demographics change every month and 30% of Provider affiliations change annually. Poor data management results in stale data, driving up costs and impacting patient and provider experiences.

Typically, 30% to 40% of Health Plan records for Providers contain errors or missing information. Improving Provider data accuracy increases accuracy of claims adjudication and reimbursement and elevates the overall member and Provider satisfaction. But several roadblocks stand in the way of optimizing Provider Data Management (PDM).

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