Monitoring access to providers is critical for member retention and quality. Accurate provider data is a basic requirement.
ATTAC Consulting Group provides critical solutions for plans to monitor and manage member access to providers. We provide key data and insight into members’ ability to access providers in your network. Our analytics provide detailed reporting on access issues to allow plans to take action to resolve data and access issues.
Provider Access and Availability Surveys
Our Provider Access and Availability Survey Solution helps health plans comply with state and federal access-to-care regulations. Our experts design your survey and produce critical analytics that provide your plan with actionable information to:
Correct invalid provider data and improve directory accuracy | Identify root causes of network performance issues | Target provider education and follow-up to improve compliance for medical and behavioral health providers
Provider Data Validation Services
ATTAC provides “last mile” outreach services to attempt to contact providers and validate provider data when discrepancies are identified. We have extensive experience in working with providers to investigate and attempt to resolve provider data issues.
Provider Data Maintenance Processes
We help clients design control points, workflows and processes that identify potential issues and indicate when to take action to resolve discrepancies.
Provider Data Management and Directory Validation
Maintaining accurate provider directory data requires solid end-to-end processes including controls, processes and decision trees to identify likely discrepancies.