Perspecta’s Provider Data Cleansing solution turns fragmented, outdated, or inaccurate provider records into reliable, actionable intelligence. Designed for health plans, TPAs, and workers’ compensation organizations, it combines advanced automation with human verification to achieve accuracy rates over 95%.
Key features include:
Automated Enrichment: Standardizes addresses, updates contact info, and adds specialties, credentials, telehealth options, practice locations, and languages.
Human Verification: Confirms provider participation, new patient acceptance, and other critical details.
Audit-Ready Compliance: Maintains transparent logs aligned with CMS, NCQA, and No Surprises Act requirements.
Real-Time Monitoring: Dashboards provide metrics, trends, and actionable insights.
By cleansing over 1 million provider records weekly, Perspecta reduces administrative burdens, enhances member satisfaction, and improves operational efficiency. Scalable, customizable, and seamlessly integrable, it’s a vital solution for modern healthcare data management.