In today’s demanding data-driven world, having an inaccurate, incorrect or out-of-date provider or member data is simply not an option. Bad data leads to bad outcomes. Something as simple as improperly maintained provider data files could have devastating effects all across the enterprise. Irregularly or poorly implemented maintenance processes can lead to compliance issues, risking massive fines and loss of revenue. Similarly, inaccurate member data leads to wasted administrative time and expense, member frustration and associated attrition, and financial penalties.
MDI NetworX can help you keep the provider and member data accurate. In addition, we can run advanced analytics on your data to deliver enhanced member experience and better outcome of your business processes. Our specific focus areas on provider and member management fronts are as follows:
and Turnaround Time
Healthcare Payers are facing a growing pressure to control costs and increase profitability. In order to help meet these goals, we have been strengthening our capabilities to manage vast volumes of claims, provider, and other demographic information.
We have a two-pronged approach:
We have been investing in our capabilities and have both the advanced technology infrastructure along with the required analytical talent to work on your data-driven projects.
We ensure accuracy of Provider data by performing following tasks:
We ensure accuracy of Member data by performing following tasks:
We support special projects of our clients in following areas:
We know profitable growth is important to you. Give us an opportunity to partner with you.