NEW YORK, June 7, 2017 /PRNewswire/ -- Today, at the 2017 AHIP Institute and EXPO event, Vericred, a healthcare data services company, announced the availability of provider-network notifications, addressing the industry wide problem of unannounced changes in provider networks. The new service enables health insurtech companies and carriers to alert their customers when specified doctors or facilities leave, or join, a health plan's network. This service seeks to reduce the unexpected bills and administrative burden resulting from unintended use of out-of-network providers.
Vericred's exclusive service drives provider network transparency throughout the life cycle of a member's enrollment in a health plan. From helping a member shop for a health plan based on specific doctor participation, to alerting that member if their doctor(s) leaves their plan's network, to helping that member find a new in-network provider, insurtech companies and carriers alike can enhance the user experience they offer, from beginning to end.
Customer applications in development include:
- HR and Benefit Administration Systems
HR and benefit administration platforms see provider-network notifications as a means to both increase the value they deliver to employees and to be more than a once-a-year destination for employees.
- Private and Public Exchanges
Exchanges offering provider-centric plan search are eager to extend their functionality to alerting a member when their preferred doctors and/or facilities leave that plan's network.
- Health and Wellness Apps
Provider-network notifications are a natural extension of Health and Wellness apps by, for example, allowing an individual to find a new in-network healthcare provider.
- Health Insurance Carriers
Carriers have been challenged by their lack of a timely and efficient means to alert members when that member's doctor or other healthcare provider leaves a network. Vericred's service enables the easy development and efficient operation of such notifications, resulting in a better member experience and reduced administrative burden.
"There is remarkable churn in provider networks. Our data and now data services are enabling tech companies and carriers to deliver on the promise of provider network transparency," says Michael W. Levin, CEO of Vericred. "Patients, providers and plans all benefit from proactive provider-network alerts. Creating a smart notification service is another step in our overarching mission to drive innovation in healthcare through data."
The new service allows a platform to register subscribers, and a list of providers relevant to those subscribers, with Vericred. As Vericred detects changes in its provider-network data, it will send notifications, via webhooks, to its partner platforms so that they can in turn send push notifications out to their members through text, email or other means.
Interested companies can register for provider-network notifications now by visiting http://www.vericred.com/data-services.
Vericred (www.vericred.com) is a healthcare data services company whose health insurance data platform enables innovative solutions in healthcare. Its platform comprises plan design and rate data, provider-network data and formulary data, offering a solution to an industry plagued by highly fragmented, rapidly changing data that currently exists in non-standard and non-structured formats. Vericred aggregates data from thousands of sources, which it then normalizes, structures and delivers through a modern API. Vericred is the only company offering access to all three datasets through a single integration point. Vericred's data solutions benefit companies looking to transform today's healthcare industry through enhanced tools and applications that provide transparency and choice. For more information visit www.vericred.com or interact with us on Twitter, Facebook and LinkedIn.