Is your provider network data accurate and up to date?
Logic Cadence can help you get quality, actionable data.
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VP of Strategic Teams
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Whether your health plan needs one-time reconciliation or ongoing management, our provider network optimization process increases compliance, improves claims processing, and, most importantly, makes sure members FIND the care they need.
Logic Cadence developed a clean-data approach through partnerships with Medicare Advantage plans facing the obstacles created by unreconciled provider networks. By outsourcing provider network reconciliation to our team of experts, you can reduce staffing needs, decrease your internal team’s workload, save money, and help your members find care. Logic Cadence can tailor provider network reconciliation services to your plan’s needs, from initial one-time reconciliation to ongoing reconciliation support.
Logic Cadence helps health plans:
Ensure members can find the care they need
Achieve, maintain, and ensure compliance
Increase accuracy of claims processing
Reduce staffing requirements and workload
Increase financial stability
Logic Cadence also understands the challenges of changing provider group ownership. So, we’ve designed our process to help provider groups improve data management from the beginning. Starting with clean data makes it easier for members to find in-network care, decreasing their out-of-pocket costs as well as cost to the plan.
How does it work?
Increasing accuracy of your provider network data is simple with our proven five-step process.
Contract Inventory & Organization
Be your health plan’s hero
Our provider network data updating process helps your plan:
Maintain adequate networks
Process claims quickly and accurately
Know you’re paying the right amount
Reduce reprocessing rates
Improve provider relationships
Retain quality providers
Avoid complications associated with changing ownership
Improve data management
Better understand your range of contracts
Schedule your free consultation today
Let’s talk about how our provider network data cleansing process can help your plan achieve compliance, accuracy, adequacy, and efficiency.