The American Medical Association (AMA) and LexisNexis® Risk Solutions has announced a collaboration to offer a solution that simplifies a successful strategy for constantly maintaining high-quality data for use in network directories.
The collaboration combines the industry-leading data resources of the AMA, its wholly owned subsidiary AMA Business Solutions, and LexisNexis Health Care to provide a holistic solution, LexisNexis VerifyHCP, to pre-fill, collect, monitor, cleanse and update clinician data. The innovative solution to be available by the end of 2016 will create efficiencies for health insurers and clinicians that streamline the process of maintaining an accurate and up-to-date network directory.
Changes to clinician data naturally occur and erode the accuracy of network directories. Accurate directories are necessary for consumers to make informed decisions and enrolees to find suitable medical care. As federal and state agencies tighten regulations for providing patients with up-to-date and accurate lists of health care professionals, health plans face an evolving mix of rules and mandates. As a result, physician offices are burdened with an increase in repetitious data verification requests from health plans that are required to constantly ensure the quality of network directories.
The collaboration builds on each organisation's capabilities and complements a mutual commitment to provide a flexible solution for an evolving environment.
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