Simplify Healthcare, a leading provider of enterprise SaaS solutions to Payers (health insurance companies), today announced the launch of their innovative provider credentialing solution — Provider1™.Credentialing — a configuration of their next generation provider data management platform, Provider1™. Provider1™.Credentialing will revolutionize the credentialing process with automated primary source verification, AI-driven accuracy, and seamless compliance.
Provider1™.Credentialing will:
- Enable Fast, Validated Applications: Accept applications through various channels with upfront validation for accuracy, integrate credentialing into existing portals, and empower providers to submit, upload, and track applications effortlessly.
- Automate AI Verification: Eliminate manual tasks with AI-powered primary source verification, connect instantly with sources like CAQH and NPDB, and easily update and audit PSV sources.
- Ensure Compliant Workflows: Configurable workflows ensure compliance and consistency, expedite approvals with routine and electronic committee capabilities, and automatically generate and store approval letters and correspondence.
- Maintain Continuous Compliance: Continuous monitoring and auto-updates for regulatory compliance, automated notifications for expiring credentials and sanctions, and critical insights with provider analytics via PowerBI.
- Seamless Integration: Provider1™.Credentialing effortlessly integrates with the Provider1™ platform, utilizing shared data structures and a common architecture.
Reflecting on the occasion, Harry Jordan, EVP and GM, Provider1™, Simplify Healthcare, said, “Our customers asked for it, and we have delivered it. Provider1™.Credentialing is a game-changer for Payers, integrating seamlessly with our next-generation provider data management platform, Provider1™ and extending its vast array of capabilities. This new solution will offer a streamlined, efficient, and compliant credentialing process, addressing the growing need for faster, more accurate credentialing in the healthcare industry. It will empower Payers to stay ahead in a competitive market by enhancing operational efficiency and ensuring compliance.”
“Provider credentialing is a critical component of healthcare administration, and our new solution simplifies and automates this complex process,” stated Shane Whitehead, Director, Product Delivery, Provider1™, Simplify Healthcare. He added, “Provider1™.Credentialing will empower Payers to manage their credentialing workflows more efficiently, reducing administrative burden and ensuring compliance with regulatory standards.”
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