Enable an Intelligent Provider Master Record

A configuration of the Provider1™ Platform for end-to-end provider data management
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provider data management solutions, automated provider data management

Simplify Healthcare is positioned in the Leaders Category in the 2023 IDC MarketScape for U.S. health plan product/plan benefit configuration solutions.

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Power your claims system and provider directory with high-quality provider data

Ensure compliance with the No Surprises Act
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Payer-specific master record

Provider1™.PDM creates a reliable and portable Payer-specific master record

Flexible data structure and hierarchy

Provider1™.PDM allows Payers to work with data structures and hierarchies that fit their needs

Business rules configuration

Provider1™.PDM ingests data based on business rules and connects disparate provider data applications and sources

Establish and maintain high-quality data

Clean up data as it is migrated to Provider1™.PDM, where business rules and 3rd party data can establish and maintain data accuracy

Power your connected provider journey with integrations

Extend the capabilities of Provider1™.PDM with a host of integrations to achieve end-to-end lifecycle management of your provider data
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.IntegrationHub

Use API and events to communicate data in a model that is easily consumable by target systems

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.DataServices

Enable OOTB and custom reporting, ad-hoc querying, analytics layer (e.g., Power BI), and file extracts

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.SuperUser.Studios

Empower superusers to maintain design, rules, and workflow configurations while also establishing governance

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.SelfServe

Enable Providers to load roster files, update facility, and location information, redline and sign contracts, and more

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.IntelliMatch

Enable multiple source inputs into Provider1™.PDM governed by rules at an attribute level

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.Contract

Integrate seamlessly with .Contract to enable end-to-end Provider contract management

.AI

Leverage the power of Generative AI in features such as provider credentialing, smart ingestion of provider rosters (in any and all formats) into the provider database, on-demand provider analytics, and contract clause recommendations during renewals and negotiations

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Claims1™

Enable automated claims configuration of provider data with transmission and translation logic, when a file extract or API is insufficient to support claims adjudication

Simplify Healthcare is positioned in the Leaders Category in the 2023 IDC MarketScape for U.S. health plan product/plan benefit configuration solutions.

What Our Customers Say

Senior Director

Provider Services

Provider1™.PDM has delivered significant efficiency improvements for onboarding and managing providers, and the users love it! Did I mention that the Simplify Healthcare team has been a delight to work with?
Specialist

Provider Data

Simplify Healthcare gave us the capability to manage our provider data through Provider1™.PDM system, along with data cascading from one section to other sections/repeaters, which in turn would allow us to save on cycle times
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Associate Director

Provider Enrollment

Provider1™.PDM allows us to capture data that is relevant to our business needs in each section, thus streamlining our whole data entry process