Rethinking what a payer provider directory can be
A large regional government payer
The client had difficulty maintaining accurate and accessible data across a directory of 250,000 healthcare providers and over 1,000 provider entity partners. From lagging accuracy to manual and complex update workflows, all aspects of the business were impacted by fragmented provider data. Provider entity partners were unhappy, and member experience suffered as members sought to connect with the right physician.
Orderly Health rethought what a provider directory experience should be. Client and provider updates that used to take days or weeks to process can now be completed in under a minute. Orderly’s Roster Automation Suite helped to quickly and easily translate data between different provider partners, streamlining a process that was previously very manual. Within six months, the system was able to meet all CMS compliance standards.
Orderly has created a new, automated system for provider data that is powered by smart technology and provides centralized updates and verification. This system includes regular data accuracy audits and an AI-enabled data cleansing process.
The key results
Reduction in manual time
Improvement in provider data accuracy
Location records cleaned, corrected, and managed