Managing a high volume of provider service requests and updating information in the core system is a daunting task for Health Plans. Departmental silos and disparate information systems make the overall process highly cumbersome. Moreover, lack of visibility across process, poor data management pose challenges on a Health Plan to manage provider service requests and auto-load provider and contract information into the core system.
To combat these challenges and thrive in a dynamic healthcare environment, you must look for the right-fit solution. Leverage Newgen Provider Servicing and Configuration solution to manage provider service requests in an effective manner. The solution integrates contracting, credentialing with configuration and allows auto-loading of providers' data and contract information into the core system.
Brochure: Provider Servicing & Configuration
Understand how you can leverage our solution to manage provider service requests and auto-load provider/ contract information into the core system in a hassle-free way.
Provider Service Management
With the solution’s multi-channel case initiation capability, you can manage service requests coming from providers and your internal departments, such as contracting and credentialing for contract amendment, termination and site visit
Provider Configuration Management
Simplify the configuration of contracts and provider data into the core claim system. And, comply with business policy and regulations via centralized business rules
Provider Directory Management
Manage providers’ data, coming from internal and external sources. Ensure compliance with CMS, State & Federal regulations. Leverage pre-configured business rules and workflow processes for managing data change requests and approvals
The system integrates with core claims systems, such as Facets, Xcelys, and others for configuring contracts and provider data via XML, Web service and Java beans over XML level APIs. It also integrates with Adobe E-sign to capture outcomes of your provider visits
Monitoring & Reporting
Use an intuitive dashboard to track how your servicing team handles incoming provider requests and measure the team’s productivity. Generate business and operational reports in several formats, such as xls, pdf, csv, and others
Strengthened Provider Network
You can offer fast resolutions to your provider inquiries, demographic changes, and complaints while maintaining transparency across all service requests and fostering provider relation
Minimized Operational Cost
With auto-handling of service requests and updation of providers’ data into the core system, reduce administrative costs by a significant margin
Enhanced Process Visibility
You can track the productivity of your servicing teams by generating business reports from the comprehensive dashboard
Reduced Turnaround Times
Eliminate manual handoffs and reduce data entry errors while improving overall process turnaround times
Higher Regulatory Compliance
With a centralized repository for providers’ data, ensure compliance with CMS, State & Federal regulations