A healthcare providers’ network is a group of doctors, and other healthcare providers like physiotherapists, home caregivers, clinics, and hospitals included in an insurance payer’s health plan. Each of those entities would have undergone an elaborate process of being onboarded into the plan. This process is called credentialing and it involves a series of verifications, processing, checks, documentation, and paperwork.

A provider network would have individual medical entities…

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Provider network solutions involve data collection across healthcare ecosystems for improving operational efficiencies. These networking management solutions can offer a single point of access for information on health plans, regulatory compliance, processes, and other data in a healthcare institution. A provider network management software automates most of the daily processes that healthcare payers go through. In this way, provider data management conserves time and cost compared to manual…

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The last few years have seen many people call for a better system of payments in healthcare. The complexity and lack of transparency have only led to increasing costs, which ultimately hit the people on the lower rungs of the economic ladder. The existing system encouraged quantity over quality, which invariably led to all the problems that plague healthcare.



The… Continue