How H1 Is Solving the Data Accuracy Problem for Health Plans

Data Accuracy Blog

Health plans face a persistent challenge: inaccurate, incomplete, and constantly changing provider data that puts compliance at risk and frustrates your members. H1 partners with health plans across the country to tackle this problem head-on, which is why we are the vendor of choice and a trusted partner to some of the largest plans in the U.S.

From Fragmented Data to Your Single Source of Truth

You pull provider data from disconnected sources whether it’s rosters, claims, credentialing systems, calls, just to name a few. Each source is noisy, out of sync, and may even contradict the others, often leaving internal teams working with different versions of provider reality.

Using H1’s Roster Automation, we are able to:

  • Aggregate all of this data from all of your feeds.
  • Cleanse, normalize and match to a single, accurate provider identity.
  • Automatically create complete data sets utilizing H1’s enrichment tools.
  • Continuously update your source of truth as new information arrives.

H1’s AI-powered roster engine ingests and standardizes provider rosters from hundreds of sources into a single normalized format. Roster automation makes manual clean‑up a thing of the past, saving your team time and creating a scalable, repeatable data model.

Creating High-quality, Accurate Data

Once the data is aggregated and normalized, H1 can evaluate records using CMS-aligned accuracy models to ensure confidence.

Two stoplight graphics showing original data quality comparing to an improvement with H1Every data point gets an AI-powered confidence score, showing exactly where accuracy is strong or needs work. A typical NPI-address-phone record jumps from 59% to 90%+ confidence with H1 processing, delivering measurable quality gains and regulatory readiness across your entire provider dataset.

H1’s advanced accuracy models move more of your provider records into top-confidence tiers, ensuring compliance with CMS standards and elevating data quality you can rely on for directories, reporting, and member tools.

We know scoring alone doesn’t drive action. All H1 scores are translated into clear recommendations, creating a strategic focus without manual analysis.

We Don’t Stop at Just Accurate Data…

H1’s Network Universe and Directory Stream are the engines that help health plans turn accuracy improvements into ongoing operational and member value.

sample of a profile in a provider directory

Network Universe connects data accuracy to network design, adequacy, and geographic access, helping teams understand the real‑world impact of directory changes and identify where network adjustments are needed.

Directory Stream continuously enhances data with missing and high‑value attributes, as well as new data elements as they become available, so your provider information stays current and actionable over time.

Why This Matters Now

As regulations tighten and the healthcare experience becomes increasingly digital, expectations for high‑quality, accurate provider data will only continue to grow. Partnering with H1 sets your health plan on a path to confident, compliant, and trustworthy data.

Connect with our team to schedule a demo and see how we can support better member experiences, more efficient operations, and stronger regulatory readiness.