Report: The State of Provider Data Accuracy

A closer look at where provider data stands today and how health plans can take action.

Maintaining accurate provider data is a constant challenge for health plans. Provider information, including contact details and network affiliations, is constantly changing, making accurate data a moving and expensive target. Despite the billions of dollars health plans spend annually trying to meet regulatory demands and offer reliable information, the vast majority of people still don’t trust their health plan to help them find the right doctors. In fact, did you know that only 38% trust their health plan to find a provider that’s right for them?

Even without all of the legislation in recent years that mandates regular updates to provider directories, health plans have long known that keeping their provider data accurate is critical to providing a positive member experience. The issue, of course, is that provider information changes at an incredible rate.

So let’s take a look at the current state of provider data accuracy and explore better ways to maintain accurate provider information for an elevated member experience.