Healthcare Data Management Utility has proactive approach.
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Press Release Summary:
Portico Provider Platform can seamlessly integrate provider data from CAQH Universal Credentialing DataSource® service to streamline manual credentialing, re-credentialing, and updating of demographic information. While optimizing operational and staff efficiency, program also minimizes errors and ensures quality provider data. Health plans can direct Portico's Data Services Solution to exchange important provider information with CAQH as often as needed.
Original Press Release:
Portico Systems Provider Platform Now Integrates CAQH Universal Credentialing DataSource
Effectively Manages Provider Rosters, Streamlines Credentialing and Improves Data Integrity
PHILADELPHIA, Dec. 18 -- Portico Systems today introduced new capabilities to seamlessly integrate provider data from the CAQH Universal Credentialing DataSource(R) (UCD) service into the Portico Provider Platform.
This integration gives health plans an important new tool to dramatically drive down the administrative time, cost and burden of managing provider data.
Maintaining up-to-date provider data is one of the industry's biggest operational challenges. Manually credentialing, re-credentialing and updating demographic information is incredibly time-consuming, and can be riddled with errors. The Portico Provider Platform streamlines these processes, increases operational and staff efficiency, reduces training costs and errors, and ensures quality provider data.
Launched in 2002, UCD allows providers and other health professionals in all 50 states and the District of Columbia to enter credentialing information, including their Type I National Provider Identifier, free of charge into a single, uniform online application. More than 400,000 providers currently participate in the provider data-collection service.
"Reducing provider administrative burden is our mission," said Sorin Davis, chair of the CAQH Credentialing Marketing and Communications Group. "Innovative solutions such as Portico's make the Universal Credentialing DataSource more valuable to both health plans and providers."
Health plans can direct Portico's Data Services Solution to exchange important provider information with CAQH as often as they need, and each plan controls the acceptance of extract information into its databases. This proactive approach helps plans easily exchange information with CAQH eliminating the need to enter and update provider demographic data.
Re-Credentialing Reinvented
"Most health plans have to re-credential practitioners every two years, which means tracking the doctor down, getting the information required and updating their database," said Sam Muppalla, COO of Portico Systems. "With CAQH's UCD data, our solution can eliminate nearly 40 percent of time spent on initial credentialing, and can save health plans upwards of 20 percent on re- credentialing costs, every year."
Portico is transforming how healthcare payers effectively manage end-to- end provider network operations and provider information. Its modular approach lets health plans easily integrate additional functionality, including NPI compliance and Web-based self-service tools for providers. This flexible platform creates a holistic and low-cost ongoing system for managing provider networks.
For more information on Portico Systems, the Portico Provider Platform or the new Universal Credentialing DataSource integration, please visit http://www.porticosys.com/.
About CAQH
CAQH, an alliance of the nation's leading health plans and networks working to simplify healthcare administration, is a catalyst for industry collaboration on initiatives that simplify and streamline healthcare administration. CAQH solutions help promote quality interactions between plans, providers and other stakeholders, reduce costs and frustrations associated with healthcare administration, facilitate administrative healthcare information exchange and encourage administrative and clinical data integration. Visit www.caqh.org/ for more information. Free to providers, UCD meets the credentialing needs of most health plans, hospitals and other healthcare organizations. The service streamlines the initial application and re-credentialing processes, and offers health organizations real-time access to reliable provider information for quality assurance and support services, such as directories and claims processing. All data submitted by providers through UCD is maintained by CAQH in a secure, state- of-the-art data center.
About Portico Systems
Portico Systems offers health plans software solutions exclusively focused on unlocking the value of Provider Network Management. Our hallmark Portico Provider Platform empowers health plans to infuse agility into their provider network management functions while delivering actionable provider information. The platform streamlines provider network processes while accelerating new revenue streams, enhancing employee effectiveness and optimizing provider relationships. For more information, please contact Chris Jones at cjones@porticosys.com or 484-533-6241. You may also visit our website at http://www.porticosys.com/.
