The future of provider eligibility is connected

Tuesday, 11/2/2021
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: ProviderTrust

This vendor spotlight is hosted on our BigMarker platform you must use Google Chrome or Firefox when participating in the webinar.

 

Forward-thinking health plans are reimagining payment integrity workflows and strategies in their Medicare/Medicaid lines of business to more effectively ensure provider eligibility at the time of claim, avoiding costly recoveries later. We've analyzed the strategies deployed by some of the nation's largest payers to understand and enable the common threads and strategies, and we are excited to share that with Health Plan Alliance members.

Join Payer & Health Plan executive leadership from ProviderTrust, the market leader in compliance monitoring for provider networks, as we explore how payers are reimagining Medicare/Medicaid payment integrity and provider eligibility to reduce operational costs and drive ROI.

You'll learn:

 

• How data science is transforming how payers determine provider eligibility
• How smarter integrations can greatly reduce the costs of claims recovery
• The nuances of monitoring primary source data (licensing boards, OIG exclusions, and more)
• A case study and real example of the ROI from smarter provider eligibility workflows

---

About ProviderTrust

ProviderTrust is a data & software solutions company based in Nashville, TN. We partner with health plans, hospitals, and health systems to eliminate healthcare fraud via our best-in-class software products. We automate monthly OIG & state exclusion checks, verify licenses & credentials, and ensure referring physicians are in good standing with Medicare prior to claims processing.

---

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.

---