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.
