Provider Data Management (PDM) Software

VerifyHCP is a groundbreaking provider data management and provider directory compliance solution that goes beyond answering federal and state regulations. VerifyHCP® provides a systematic approach to provider data and directory management. Using machine learning, the industry’s leading source of provider information and more than a decade of data management and stewardship experience, this provider directory solution goes beyond regulatory requirements as they relate to maintaining the accuracy of published directories. The VerifyHCP solution is a hosted, crowd-sourced, real-time data management and analysis solution that optimizes data insights for payers.

Provider network data management is a comprehensive solution for efficiently integrating provider data, network analytics, contract management (including modeling), recruitment analysis, credentialing and detailed reporting with interoperability across a variety of systems.

CredentialStream is a comprehensive provider lifecycle management solution that includes everything you need to request, gather, and validate information about a provider to create a Source of Truth to serve downstream processes. CredentialStream includes all of the features of Apply, Validate and Appoint, and is powered by Bolt and hStream. Insights provide credentialing analysis driven by industry data, and The Hub allows for organized accessibility to manage the provider lifecycle. These are a few functions of several features of CredentialStream.

Modio Health is a cloud-based credentialing and career management solution for healthcare providers and organizations. Modio Health is a physician-owned and operated platform connecting healthcare organizations with qualified providers. Our goal is simple - remove the hassle around job searching and credentialing for healthcare professionals.

Virtusa Provider Lifecycle Management (PLM) is a comprehensive provider lifecycle solution that supports provider relationships from network design and onboarding to claims payment, servicing, and contract renewal. It is a unified platform that modernizes all aspects of your complex provider relationships.

Quest Analytics' Provider Network Management platform makes it easier for payers, health plans, health systems & provider groups and third-party administrators (TPAs) to design, optimize and manage their provider networks.

Availity Provider Data Management (PDM) offers an easy-to-use way for providers to update, validate, and attest to the accuracy of their information. Providers receive regular notifications right in their workflows reminding them of deadlines to verify their directory information. Machine learning and artificial intelligence identify providers whose information is likely to be incorrect or out-of-date; when there’s a mismatch between information the provider is submitting and what the health plan has on file, PDM sends a notification prompting the provider to update the record.