Verisys Provider Credentialing Reviews & Product Details

The symplr Payer provides a data management system is a robust workflow solution that will automate and streamline all aspects of provider data management for health plans and managed care organizations, including credentialing, contracting, network management, quality improvement, ongoing monitoring & compliance, and more.

Verifiable has built a system to issue, manage, verify and monitor all credentials (certifications, micro-credentials, diplomas) on a single platform, published to a real-time, universally verifiable public ledger.

Model N's Revenue Cloud for Pharma is a comprehensive cloud-based solution designed to optimize revenue management for pharmaceutical companies. It streamlines complex processes such as pricing, contracting, regulatory compliance, and rebate management, enabling organizations to maximize revenue and ensure compliance across the entire revenue lifecycle. By integrating advanced analytics and automation, Revenue Cloud for Pharma provides real-time insights and control over commercial operations, helping pharmaceutical manufacturers navigate the intricacies of the industry effectively. Key Features and Functionality: - Provider Management: Ensures accurate pricing and eligibility by managing healthcare provider affiliations and memberships. - Payer Management: Facilitates efficient handling of contracts and relationships with payers, including insurance companies and government programs. - Government Pricing: Automates compliance with government pricing regulations, reducing the risk of penalties and revenue leakage. - Global Pricing Management: Offers tools to manage and analyze pricing strategies across different markets, ensuring competitive and profitable pricing decisions. - Global Tender Management: Integrates with public tender marketplaces, enhancing the ability to win and manage tenders globally. - Intelligence Cloud: Provides actionable analytics and dashboards for informed decision-making and performance monitoring. Primary Value and Problem Solved: Revenue Cloud for Pharma addresses the challenges pharmaceutical companies face in managing complex revenue processes and regulatory compliance. By automating critical functions such as pricing, contracting, and compliance, the solution minimizes revenue leakage, reduces manual errors, and ensures adherence to industry regulations. This leads to increased operational efficiency, improved profitability, and enhanced ability to respond to market dynamics. Additionally, the integration of real-time analytics empowers organizations to make data-driven decisions, fostering growth and maintaining a competitive edge in the pharmaceutical industry.

symplr Directory is the market-leading purpose-built solution to address industry-specific provider data management and integration requirements across the health system enterprise. Offered as a cloud-based iPaaS, only Phynd 360™ provides a full spectrum of features and capabilities, along with an extensive API architecture and full data management to support the level of performance, scalability and integration needed to provide a complete, agile, governance-enabled solution for enterprise provider data management at scale.

CAQH ProView®, the trusted source and industry standard for self-reported provider data, is used by more than 1.4 million healthcare providers. CAQH ProView continues to be the premier credentialing tool, but can now also be used by participating organizations for network directories, claims processing, quality assurance, emergency response, member services and more.