The Symphony Provider Directory simplifies the way your plan communicates with providers so you can easily maintain more accurate directories in compliance with state and federal requirements.
We partner with you and your team to streamline the work associated with provider outreach, roster updates, data reconciliation, validation and processing changes.
Instead of juggling multiple data files and calling providers, you can access all provider information in one place to more easily update your member directory, create efficiencies, and help move our industry toward data standardization.
is spent per year by commercial health insurers to maintain provider databases
is the fine per error per physician that plans face if they fail to keep their member directories updates
of online provider directories for Medicare Advantage Organizations had at least one inaccuracy. (2018 CMS Report)
The Symphony Provider Directory reduces administrative costs and plan fatigue by simplifying the data management process. We facilitate a transparent process so that plans and providers can hold each other accountable at every step and achieve better results together.
We worked closely with regulators to develop the Symphony Provider Directory to ensure the platform could support and make it easier for providers and health plans to meet state and federal compliance. The utility meets requirements for regulatory bodies like the California Department of Managed Health Care (DMHC), California Department of Healthcare Services (DHCS) and Centers for Medicare and Medicaid (CMS) including:
Read more about how Symphony supports health plans in achieving compliance for:
Plans face many challenges in both obtaining correct provider data and keeping that information up-to-date including barriers like disparate sources for information, multiple formats and locations for data storage and lack of access to easily cross-check information with other validated sources. To help address these challenges, the Symphony Provider Directory:
Learn about the uniform data standards published by DMHC