Simplify Healthcare launches its Pay for


AURORA, IL, March 22, 2022 (GLOBE NEWSWIRE) — Simplify Healthcare, a market leader in healthcare payer digital transformation solutions, today announced the successful go-live of its lifecycle management platform life of end-to-end provider data, eProviderSync™ for a large Midwestern healthcare payer with ~1 million enrolled members. This effort involved migrating 50,000 practitioners and 15,000 provider organizations to the platform. Simplify Healthcare achieved this in just 5 months and in several stages.

Step 1 – Configure user interface and enable customer specific data structures, hierarchies and business rules.
Step 2 — In collaboration with the customer, clean up supplier data and migrate from the old system.
Step 3 — Platform integration and data migration with vendor directory and claims systems.

eProviderSync™ is an end-to-end configurable rules-based SaaS solution for payers, TPAs ​​and ASOs that solves provider data lifecycle management and accuracy issues through provider hierarchy configuration payer and business rules, confirmation, consumption and synchronization of supplier information across applications. eProviderSync™ modules can enable contract management (including fees and rates), automate integration with accreditation providers, integrate third-party data sources, and automate integration of provider data with downstream systems. The modular nature of the platform makes it flexible to be used either as a point solution or as an end-to-end solution.

“The No Surprises Act has increased the importance of provider data management in 2022. The vision of eProviderSync™ is to be a one-stop-shop for payers to address all lifecycle management challenges supplier data. Our platform’s capabilities and speed of production give us the opportunity to help payers generate results from their investments profitably, on a scale of months, not years. — Harry Jordan, COO of Simplify Healthcare.

“Instead of having to adapt to a new application’s provider data structure and hierarchy, eProviderSync™ allows payers to adapt the best of their data structures and configure their provider’s data hierarchy , business rules and workflow to enable effective adoption and integration of a modern platform into the payer ecosystem.We are excited and look forward to bringing the value of our platform to many more payers across the health. ” – Mohammed Vaid, CEO and Chief Solutions Architect of Simplify Healthcare.

“eProviderSync™ transforms the way we do business and makes life easier for all of us. I don’t tell you this often enough, but your team is amazing. They were great working with them.” — Director, Network Management.

About Simplifying Healthcare

Simplify Healthcare is the leading provider of healthcare payer digital transformation solutions for payers, TPAs ​​and ASOs, solving the toughest challenges across benefits, provider, customer experience, enrollment and value-based reimbursement with digital transformation solutions focused on improving member and provider experience, operational efficiencies and business outcomes while reducing total cost of care.

For more information, visit simplifiehealthcare.com

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  • Simplify Healthcare brings its end-to-end provider data lifecycle management payment solution, eProviderSync™, online in 5 months


        
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