Toll Free number: 888-988-0605 Providers can now submit Claims EDI files directly for all Health Plans (EDI Payer list) Register here and start submitting right away Contact Us to set up Payment Remittance processing from the Health Plan Toll Free number: 888-988-0605 Providers can now submit Claims EDI files directly for all Health Plans (EDI Payer list) Register here and start submitting right away Contact Us to set up Payment Remittance processing from the Health Plan

Overview

We leverage digital-first Provider Data Management (PDM) solution to create a single, reliable “Golden Record.” By reconciling sources like CAQH and rosters, we establish a Single Source of Truth (SSOT) that eliminates silos, ensuring all teams use the same validated, real-time data.

AI-driven ingestion and automated validation against primary sources (NPPES, State Boards, OIG) eliminate “directory churn.” This HIPAA-compliant ecosystem ensures real-time data transparency, regulatory alignment, and constant audit readiness.

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Provider Data Management (PDM)

Establish a Single Source of Truth by normalizing fragmented provider data into a compliant Master Data Record that powers downstream revenue cycle operations.

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Digital Provider Credentialing

Accelerating Time-to-Revenue Streamline the traditional 90-to-180-day cycle into a rapid, digitally managed pipeline to enable new providers to begin seeing patients and billing sooner.

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Data Quality & Validation

Automate checks for NPIs, licenses, DEA, taxonomy, sanctions, and address standardization (CASS/NCOA) to keep information accurate and current.

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Continuous Accuracy and Attestation

Deploy real-time APIs to verify provider data while utilizing simplified portals for 90–120 day self-attestation as mandated by the CAA and NSA Act.

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Compliance & Network Adequacy

Enforce CMS/NSA timeliness standards and provide automated reporting for NCQA, CMS, and State-specific regulatory mandates.

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Multi-Source Ingestion

Automate the ingestion of CAQH data and payer rosters, resolving duplicates and inconsistencies through intelligent matching and normalization.

Our Proprietary Tech

The Golden Record Engine: Our AI-driven logic that merges disparate data points into one compliant, high-fidelity provider master record.

Interoperable Workflows: Role-based reviews and approvals govern high-risk updates, ensuring verified provider details flow consistently to directories and claims systems.

System Integration Excellence: Proficient in 10+ industry-leading platforms, modernizing legacy systems, and ensuring data consistency across core administrative platforms.

Digital-First Transformation: A focus on BPaaS models using intelligent automation and AI to deliver measurable business outcomes and a 45% improvement in efficiency.

BENEFITS

By integrating AI-driven automation and 20 years of expertise, we unify fragmented data to streamline the provider lifecycle and drive operational efficiency.

  • Reduce claim denials and rework by preventing data errors upstream.
  • Achieve 67% faster credentialing to shorten enrollment timelines.
  • Improve member access with accurate, compliant provider directories.
  • Lower operational costs by 30% using intelligent automation.
  • Decrease penalties by 45% through high-fidelity data accuracy.
  • Strengthen compliance with HIPAA, CMS, and NCQA standards.
  • Unify fragmented data into a platform-wide single source of truth.

2M+

Provider Updates Annually

20+ Years

Of Experience in Provider Network Operations

10+

Industry-Leading Platforms Supported

67%

Reduction in Credentialing Cycle Time

45%

Improvement in Provider Data Processing Efficiency

45%

Reduction in Claims Adjudication Issues and Penalties

Up to 30%

Reduction in Operational Costs Through Automation

BENEFITS

By integrating AI-driven automation and 20 years of expertise, we unify fragmented data to streamline the provider lifecycle and drive operational efficiency.

  • Reduce claim denials and rework by preventing data errors upstream.
  • Achieve 67% faster credentialing to shorten enrollment timelines.
  • Improve member access with accurate, compliant provider directories.
  • Lower operational costs by 30% using intelligent automation.
  • Decrease penalties by 45% through high-fidelity data accuracy.
  • Strengthen compliance with HIPAA, CMS, and NCQA standards.
  • Unify fragmented data into a platform-wide single source of truth.
2M+
Provider Updates Annually
20+ Years
Of Experience in Provider Network Operations
10+
Industry-Leading Platforms Supported
Up to 30%
Reduction in Operational Costs Through Automation
>67%
Reduction in Credentialing Cycle Time
>45%
Improvement in Provider Data Processing Efficiency
45%
Reduction in Claims Adjudication Issues and Penalties

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