InterSystems HealthShare Fact Sheet InterSystems HealthShare Provider Directory A Single Source of Truth for Provider Demographic and Professional Relationship Information Inaccurate provider information has consequences – for patients, payers, and the providers themselves. Wrong telephone numbers and location information limits access to care. Inadvertently choosing an out-of-network provider can result in catastrophic healthcare bills. Health plans have been fined hundreds of thousands of dollars for publishing inaccurate directories. And inaccurate information propagated across multiple clinical and administrative systems at a hospital or Integrated Delivery Network can negatively impact efficiency and cash flow. A 2017-2018 CMS review of Medicare Advantage Organization provider directories found that nearly 49% of them contained inaccurate information. InterSystems HealthShare Provider Directory is a master data management solution that automates the process of collecting, consolidating, and publishing accurate provider information. It enables you to more easily comply with regulations such as CMS 9115-F for patient data sharing, enhance customer service, and improve the efficiency of any business process that requires up-todate and accurate provider information.

Key Features The Single Source of Truth HealthShare Provider Directory compiles data from multiple sources, including NPPES national provider identification files. It uses a linkage engine and business rules to select the most accurate and up-to-date information, and creates master records for individual providers and provider organizations. The master record is the single source of truth storing common attributes for these entities and supports the many relationship structures that occur in healthcare. NORTHWELL HEALTH USES PROVIDER DIRECTORY WITHIN ITS HIE TO COMBINE INFORMATION FROM MULTIPLE...

Master Browser The Master Browser is the central access point for managing all records in Provider Directory. Its authorized users can search for records, see overviews, and review the content of all record types, including individuals, organizations, locations, addresses, networks, health plans, and contract administrators. Authorized users may also manually edit or enter information into the directory for individual providers, provider organizations, locations, individual to organization and organization to organization relations. The Master Browser also supports relationship records such as...

Supported FHIR resources: • Endpoint • HealthcareService • InsurancePlan • Location • Network • Organization • OrganizationAffiliation • Practitioner • PractitionerRole Sharing HealthShare Provider Directory publishes public REST APIs for searching and retrieving individual provider and provider organization records. Information supplied includes related organizations, locations, and networks. Push Updates Service Provider Directory can update trusted provider information in real time to drive referral management, revenue cycle management, or care coordination workflows. The system translates...