PRIME

What PRIME is

PRIME is a web platform for managing provider data across credentialing, payer enrollment, directory validation, and continuous compliance monitoring. It consolidates records from sources such as EHRs, credentialing platforms, billing systems, and payer portals into a governed dataset. For directory validation, its six-layer verification framework checks provider information against provider websites, public records, exclusion lists, and other directories. Credentialing workflows include primary source verification, document management, and re-credentialing.

PRIME monitors license expirations, sanctions, exclusion-list changes, and demographic shifts across provider networks. Its roster module automates payer-specific submissions and reconciliation, and tracks payer performance by plan. Integration options include FHIR, HL7, and X12 EDI support, along with pre-built connectors for Salesforce, Workday, CredentialStream, and CAQH. Audit trails capture what changed, when and why it changed, and who approved a correction. Atlas says PRIME is ISO and SOC 2 certified, hosted on Microsoft Azure, and uses workflows aligned with NCQA requirements. It serves health plans, health systems, behavioral health organizations, and managed care organizations. Atlas says most modules deploy in under four weeks. Pricing is customized and available on request.

Who it suits

PRIME is intended for health plans, health systems, behavioral health organizations, and managed care organizations managing provider data. It may suit teams that need to coordinate credentialing, payer rosters, directory validation, and ongoing compliance monitoring in a web platform.

Getting started

1. Visit the PRIME website.
2. Contact Atlas Systems to request customized pricing and discuss your organization's needs.
3. Choose the PRIME modules suited to your provider-data workflows.
4. Plan for deployment; Atlas says most modules deploy in under four weeks.
5. For PRIME support, email [email protected].

Verdict

Consider PRIME if your organization needs to manage provider records across credentialing, payer enrollment, directories, and compliance. Pricing is customized, and Atlas says most modules take under four weeks to deploy.