Understanding the Provider Data Management Lifecycle
Understand the limitations of traditional provider data management and what to look for in a modern provider data management solution.
PROVIDER DATA MANAGEMENT (FOR PAYERS)
Take control of your provider data and streamline your network management processes
Coperor’s Provider Data Management solution empowers payers to maintain accurate, up-to-date, and compliant provider information, improving efficiency, reducing costs, and enhancing both provider and patient experiences.
OVERVIEW
From Onboarding to Provider Directories to Network Optimization
Healthcare payers face significant challenges in maintaining accurate provider data within a dynamic ecosystem. Coperor addresses this complexity by maintaining a consolidated view of providers across credentialing, contracting, network management, and directory systems. This comprehensive approach enhances data accuracy and operational efficiency, ultimately improving both provider and patient experiences.
BENEFITS
Streamline data, boost efficiency, enhance care
Automate roster reporting
Provider groups upload their health plan roster requests to the portal, where it’s confirmed and immediately processed, ensuring current and accurate provider directories and reducing staff time with manual updates and outreach.
Accelerate provider onboarding
Streamline the process of adding new providers to your network, reducing administrative burden and time-to-market for new services.
Eliminate hidden data quality issues
Uncover and resolve data discrepancies and duplicates to ensure that only consistent, high-quality data is propagated into your systems.
Ensure regulatory compliance
Stay compliant with mandates requiring accurate provider directories and adequate provider networks, with full audit trail for all data changes, updates, and verifications.
Reduce provider friction
Provide unprecedented transparency into provider data management, enabling faster updates and more accurate communication with healthcare providers.
Enhance member satisfaction
Accurate provider data enables members to quickly find and access a broad network of available providers leading to better care outcomes and increased member satisfaction.
CUSTOMER SUCCESS
Provider data management (for payers) for the win
"Using Coperor’s data validation capabilities, we've reduced our provider data errors by 75%. This has significantly improved our provider directory accuracy and member satisfaction."
VP of Operations, Texas-based health insurance provider
0
%
reduction in errors
CAPABILITIES
Why provider data management (for payers)
Manage data once, everywhere
Coperor HDMP provides a centralized platform for managing provider data, allowing you to update data once and then automatically distribute it across all connected systems. This approach ensures that each application receives consistent, high-quality data without requiring separate data management in each point solution. By centralizing data management, you can reduce administrative burdens, enhance data consistency, and improve operational efficiency.
FEATURES
Feature highlights
Unify
Streamline your data assets efficiently
Coperor HDMP offers enterprise-grade master data management, validating and enriching provider data with internal and reference sources like NPPES and DEA. This ensures accurate, consistent data across all systems, reducing errors and discrepancies. It maintains golden records with rules to reconcile discrepancies, ensuring up-to-date provider information.
Model
Benefit from a proven framework
Leverage Gaine Coperor's pre-configured data model, specifically designed for healthcare and battle-tested and refined through 15 years of experience implementing HDMP across leading healthcare organizations. The model and out-of-the-box business rules ensure that key considerations are addressed and potential issues are mitigated, allowing for faster deployment and reduced risk.
Transform
Adapt data to any format needed
Coperor HDMP transforms provider data into any format or structure needed for the systems you need to distribute it to, without compromising your source of truth. This capability saves you time and effort by automatically formatting data for each application, eliminating the need for manual data wrangling. Additionally, it ensures privacy compliance by providing each system with only the information necessary for its specific needs.
Synchronize
Sync data across systems in real-time
Instead of simply moving data from System A to System B, C, D, and Z, Coperor keeps all your healthcare data, systems, and applications connected in lock-step. Coperor HDMP synchronizes provider data in real-time across all connected systems, ensuring that updates are immediately reflected everywhere. This real-time synchronization prevents data conflicts and ensures that all stakeholders have access to the most current information, enhancing operational efficiency and decision-making.
Govern
Ensure data integrity always
Coperor HDMP provides robust data governance capabilities, ensuring that provider data is accurate and up-to-date. It resolves discrepancies through automated processes and manual intervention when necessary, maintaining trust in your data and supporting regulatory compliance. This governance is crucial for maintaining high-quality data across all systems.
Directory
Automate accurate provider directories
With Coperor, you can maintain accurate and compliant provider directories by ensuring that all provider information is up-to-date and consistent across systems. The platform supports real-time collaboration through a provider portal, allowing providers to easily attest and update their information once, which is then automatically distributed across multiple health plans. This streamlined process enhances data accuracy, reduces administrative burdens, and improves regulatory compliance.
Frequently asked questions
More knowledge, more power
Modernize Your Provider Data Strategy
Contact our provider data management experts for a Coperor demo.
