Healthcare technology and operations leader focused on helping health plans use AI and operational intelligence to improve control, efficiency and outcomes.
Your directory errors are about to go public. Find out how to stop them where they start.
Provider data errors can affect claims, compliance, and member experience. Join MDI NetworX leaders to explore how health plans can improve provider data accuracy and manage the two-business day update requirement.
Healthcare technology and operations leader focused on helping health plans use AI and operational intelligence to improve control, efficiency and outcomes.
Healthcare operations leader with 20+ years across the payer and provider ecosystem, focused on scaling delivery models and driving operational efficiency through technology.
B2B technology marketing leader experienced in translating complex solutions into clear, engaging conversations that connect technology with business outcomes.
Provider rosters arrive as spreadsheets, PDFs and emails, often leaving teams to enter and validate every change by hand. Meanwhile, the regulatory clock keeps ticking.
Issuers must update online provider directory information within two business days of receiving information from a provider.
Issuers must verify directory information at least every 90 days.
Of Medicare Advantage provider directory locations reviewed had at least one deficiency.
Two-business-day updates, verification requirements and the growing visibility of provider directory accuracy.
How one error can affect claims, directories, network adequacy, compliance and provider relations.
AI-driven intake, validation and exception handling, with people focused where judgment is needed.
Visibility into inventory, aging, SLAs, credentialing and audit readiness.
Results from a live engagement and a 90-day approach to building your own business case.
Join Tilak, Partha and Doug for a focused webinar on provider data accuracy, regulatory timelines and the operational model health plans need to manage them.