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Provider Data Management

Provider Recruitment: Technosoft’s team of provider recruitment experts has the expertise of recruiting individual as well as group providers. We have the bandwidth of covering all the states across different time zones. Our provider recruitment experts start their campaign by validating provider demographics and creating a mailing list and then calling the provider offices to check if they have received the recruitment packets. They are well trained to efficiently handle provider queries.

Our team of experts can help you in

• Effectively managing this essential but non core work.
• Handle recruitments across different states.
• Create standard operating procedures including market specific verification scripts and call rebuttals.
• Leverage our proprietary tool to track inventory, ensure smooth and regular follow-ups and reduced TAT.
• Significantly reduce cost of recruitment per provider.

Credentialing: Technosoft’s team of credentialing experts has the experience of both credentialing and re-credentialing activities. Our delivery model for credentialing services ensure that optimal utilization of resources for various activities like application review, follow up with provider offices for missing information, Primary and Secondary verification etc..

Technosoft’s proprietary workflow tool helps to track inventory on a real time basis and builds operational efficiencies resulting in reduced turn around time and high quality.

Our team of experts can help you in

• Streamlining your processes
• Design a robust delivery model to suit your requirements.
• Conduct Verification as per your business guidelines
• Be adherent to NCQA.
• Leverage our proprietary tool to track inventory, ensure smooth and regular follow-ups and reduced TAT.
• Significantly reduce cost per provider.

Contract Loading: Technosoft’s PDM team comes with an experience of having loaded complex provider contracts for leading health plans. .Our team has the experience of loading contracts for Leased Networks, PPOs and HMOs and has worked on various complex loading guidelines like physician extenders, multi year contacts; carve outs, locum tenants etc. Our team has been successful in eliminating client backlog, building efficiency, thereby, improving and sustaining quality.

Our Team of Experts can assist you in

• In loading complex as well as varied loading scenarios that include.
• Updating multiple systems with consistent and accurate information
• Managing volume spikes, backlogs with our flexible staffing model
• Ensuring quick TAT with sustained quality.

Provider Data Collection and Verification: Technosoft has a competent team of callers who can reach out to provider offices to collect, verify and cleanse your provider data. Data verification is performed over a series of calls to ensure that multiple attempts are made on non-verified calls. Web research is done for all non-verified calls and once the numbers are collected verification calls are made for data collection.

Our time of experts can help you in

• Conduct one-time data cleansing campaigns
• Support on-going data collection and verification activities
• Ensure in-depth web research is done for all non-verified providers
• Leverage our proprietary tools to track inventory and ensure systematic follow-ups