InterSystems Fact Sheet A Comprehensive Provider Data Management Solution Inaccurate provider information has serious consequences. For patients, it can mean delays in care. For members who unknowingly choose an out-of-network provider, it can result in catastrophic healthcare bills. Health plans may face hefty fines for inaccurate directories. And providers trying to market themselves through their digital front door risk alienating the very people they hope to attract. An analysis of directory entries for over 40% of U.S. physicians found inconsistencies in 81% of listings across five major national health insurers1 - highlighting the prevalence of ghost networks and the ongoing challenges of maintaining accurate provider data. InterSystems Provider Directory is a provider data management solution that collects, consolidates, and publishes information about healthcare providers and their relationships to patients, health plans, and one another. Provider Directory helps to comply with laws like the No Surprises Act, and regulations like CMS 9115-F and CMS-0057-F, enhances the consumer experience, and improves the efficiency of any business process that depends on accurate, up-to-date provider data. 1 Consistency of Physician Data Across Health Insurer Directories, JAMA, March 2023.
Open the catalog to page 1O InterSystems Provider Directory can also function as part of your organization’s broader master data management strategy, compiling provider, organization, and network data from multiple, disparate sources—each with its own formats and structures—into a complete and accurate Golden Record. AN ANALYSIS OF DIRECTORY ENTRIES FOR OVER 40% OF U.S. PHYSICIANS FOUND INCONSISTENCIES IN 81% OF LISTINGS ACROSS FIVE MAJOR NATIONAL HEALTH INSURERS. Product Overview Provider Directory uses a robust linkage engine and business rules to match provider records, provider organizations, and extensions of your...
Open the catalog to page 2Data Stewardship Provider Directory delivers unsurpassed transparency into the process of creating and updating master records out of the box. These features allow authorized users to: • Filter information by date, time, and source • Establish data hierarchies based on the most trusted data sources • Implement survivorship rules to ensure only fresh data is visible in the golden record • Track when record updates have occurred and the source of those updates • View details about update sources • Examine source records that contributed to a master record and the rules that governed their use •...
Open the catalog to page 3• Customer Support and Education InterSystems Provider Directory is backed by InterSystems acclaimed customer support and educational services. For more information visit Disclaimer: InterSystems software, associated services, materials, and expertise may utilize artificial intelligence capability and functionality. Please refer to the InterSystems Transparency Notice, Product-specific Documentation and the applicable Statement of Intended Use for more information. © 2025 InterSystems Corporation. All rights reserved 040325
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