DataSpring Provider Directory Management helps health plans maintain provider directories using professional and practice details verified by clinicians. Physician practices enter, update, and confirm information, and the solution applies analytics to those details to improve data quality. Provider records can include health equity, race, ethnicity, and language information, as well as telehealth services, including service type and platform. Group administrators can centrally update non-sensitive details such as locations and phone numbers, then push those changes to provider profiles. Providers use the Provider Data Portal to update selected information and may share it with participating health plans they authorize. DataSpring sends quarterly email reminders and follows up by phone with providers who do not respond. Confirmations are time-stamped with a snapshot for audit purposes. Health plans can use detailed directory data to assess and manage network adequacy. Each plan must maintain a separate provider directory roster in a specified format; additions are accepted daily. Participating plans receive a return roster and an extract of confirmed and attested information for rostered providers who have attested since the previous extract. DataSpring reports 53 participating health plans and over 90% accuracy for practice location names and addresses. The web-based solution is paid, with pricing on request.
Who it is for
It is designed for health plans managing provider directories and network adequacy, as well as physician practices and provider groups that maintain provider information. It may suit organizations that need provider confirmations, shared updates, and audit records for directory details.
What is good
- Providers can share selected updates with health plans they authorize.
- Group administrators can distribute non-sensitive profile changes centrally.
- Records can include telehealth, language, race, ethnicity, and health equity details.
- Confirmations are time-stamped with an audit snapshot.
- Roster additions are accepted daily.
What to know first
- Pricing is available on request.
- Plans must maintain a separate, specifically formatted provider roster.
Verdict
Consider DataSpring Provider Directory Management if your health plan needs confirmed provider details, centralized group updates, and directory data for network management. Physician practices and provider groups can also use the portal workflow; plans should account for the separate roster requirement and request pricing.
Get started with DataSpring Provider Directory Management
- Visit the DataSpring Provider Directory Management website.
- Request a demo to discuss pricing.
- Prepare a separate provider directory roster in the required format.
- Have providers update selected details in the Provider Data Portal and authorize participating plans to receive them.
- Use the returned roster and extracts to access confirmed information.
Questions about DataSpring Provider Directory Management
Who is the solution for?
DataSpring presents it for health plans, physician practices, and provider groups.
What does pricing cost?
Pricing is on request; DataSpring offers a demo request.
Which platform does it support?
The listed platform is web.
What provider information can the directory include?
Details can include health equity, race, ethnicity, language, and telehealth services, including service type and platform.
What does a health plan need to provide?
Plans must maintain a separate, specifically formatted provider directory roster. Roster additions are accepted daily.
How is Provider Data Portal information secured?
DataSpring says Provider Data Portal data is secured using HITRUST CSF data protection standards.
DataSpring Provider Directory Management plans and pricing
All plansCompared on healthcare provider directories
- Organization profiles
- Yes
