Ensure your provider directory data is current, accurate and complete

HealthSparq Clean

New regulations are in place that will require health plans to publish an easily accessible, current, accurate and complete provider directory. Are you ready to meet these new requirements?

The Centers for Medicare & Medicaid Services (CMS) have issued new regulations, effective in 2016, that may present considerable challenges to health plans. Plans will be required to publish an accurate and complete provider directory including information on which providers are accepting new patients, the provider’s location, contact information, speciality, medical group and any institutional affiliations. If a health plan doesn’t comply with the new CMS regulations, they may be subject to penalties.

A Fully Managed Provider Directory Solution

We are excited to introduce HealthSparq Clean, a data-as-a-service directory data solution that provides 100% continuously verified provider data and will ensure that your provider directory data is accurate and updated to meet increasing regulatory pressure and fulfill your members’ needs. HealthSparq Clean is also extremely flexible to ensure we are meeting all your directory validation needs.

Accuracy You Can Count On

HealthSparq Clean helps you deliver current and accurate data through a combination of industry best practices, direct marketing expertise, leading data hygiene methodologies, research and verification—all developed over years of acquiring and maintaining provider directory data.

Focused on Provider Data

Unlike traditional data services that try to cater to many vertical data needs, we are singularly focused on delivering the most accurate and up-to-date provider directory data possible.

Easy to Integrate

Our solution platform, web services and data management modules make implementation and data integrations straightforward, fast and secure. HealthSparq Clean can have you compliant in a matter of weeks rather than months.

COMPLIANT DIRECTORY

Meet CMS regulations with an up-to-date provider directory with required data fields, including:

  • Accepting New Patients
  • Hours of Operation
  • Provider locations
  • Areas of Speciality
  • Medical Group
  • Institutional Affiliations

Notes:

  1. HHS, Office of Inspector General, State Standards for Access to Care in Medicaid Managed Care, Washington (2014)
  2. M. Beck, “Insurers’ Listings of In-Network Doctors Often Out of Date, “ The Wall Street Journal (November 25, 2014)
  3. Department of Managed Health Care, Final Report: Non-Routine Survey of Blue Shield of California, A full Service Health Plan (2014)