HEALTH PLAN REPORTING FOR PROVIDERS
Eliminate Spreadsheets and Manual Effort in Health Plan Reporting
Automate the process of compiling all your provider data and contorting into an endless number of health plan reporting formats to lock in accurate, timely data delivery to all your partnered payers.
Automated Health Plan Reporting
Provider data management across spreadsheets and systems: a recipe for disaster
BENEFITS
Complicated reporting made simple. Everybody wins.
Eliminate manual effort
Automate data collection, transformation, and reporting, freeing your staff for more important tasks.
Accurate provider data
Ensure data accuracy and consistency across all your payer reports.
Faster provider onboarding
Streamline provider onboarding with automated data validation and reporting.
Improved patient access
Help patients find in-network providers with accurate and up-to-date directors.
Increased claims approval
Reduce claim denials due to inaccurate provider data.
Enhanced data synchronization
Prepare your provider data for seamless synchronization across your organization.
Improved payer relationships
Strengthen relationships with payers by providing timely and accurate data.
CUSTOMER SUCCESS
Gaine for health plan reporting for the win
"We used to lose 70 hours every month managing payer reports across different formats. Now, with Gaine, we wrap up the entire process in under 5 hours—no spreadsheet jockeying, no rework, just done. That’s over 90% of our reporting time given back to us every single month."
Sr. Director, Managed Care Operations at Provider Group in CO
70
Hours spent monthly on reporting
CAPABILITIES
Why Gaine for health plan reporting?
Consolidate Provider Data.
Bring together all your provider data from their various silos, regardless of source or format, into a single, accessible platform. Gaine can handle data from spreadsheets, databases, and other systems, creating a unified view of your providers. 15+ years of refining a data model exclusively for healthcare saves you time and reduces your risk.
FEATURES
Feature Highlights
Edit
Make Updates on the fly.
Keep your provider data up-to-date with on-the-fly edits within the Gaine platform.
Extract
Data in unlimited formats.
Extract data in as many payer formats as needed, as often as required.
Identify discrepancies
Resolve data issues quickly.
Quickly identify and resolve data discrepancies for accurate reporting.
Cleanse
Enrich data with external sources.
Cleanse and enrich your data with external sources like state license databases, DEA, CMS, NPPES, and USPS, already built-in.
Surface the right value
Tailor data for each report.
Surface the best value for each provider for each report based on specific payer and regulatory requirements.
Monitor quality
Use reporting to track data.
Monitor data quality and identify potential issues with interactive dashboards. Or let us do it for you.
