Maintaining network directories with up-to-date, confirmed provider lists is a never-ending challenge for payers of all sizes. Members rely on up to date directories and get frustrated when a dentist is not at the location indicated in the directory. Moreover, state regulators are now insisting on up to date directories or payers may face stiff fines. Even relying on submitted claims data is not enough to ensure compliance.
P&R Dental Strategies provides network intelligence and optimization solutions payers can use to gain insights needed to manage and heighten the performance of their provider network including:
- Understand the movements of providers from location to location (even from state to state)
- Validate whether a network dentist is confirmed or unconfirmed and manage status over time
- Identify the best dentists to include in the network
- Increase the universe of potential recruits
- Make the universe of network prospects more manageable with preferred capabilities and preferred discounts
- Segment the dentist population by financial risk
- Deliver provider network insights on individual dentist fees to help maximize network contracting and recruiting
From a cutting-edge technology platform to the support of an industry-leading team of dentists, consultants and statisticians, P&R Dental Strategies customers can depend on actionable business intelligence that meets the unique challenges of their organization.
To request a demo of our network intelligence and optimization solutions customized to your business, please complete the form below:
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