According to the AMA, the average provider is affiliated with 12 health plans and may undergo a rigorous data audit for each on a quarterly or bi-annual basis. Yet even with this effort, health plan directories remain inaccurate, preventing patients from finding the care they need in a timely manner.
The Symphony Provider Directory streamlines the way you share information with health plans so that you and your staff can focus on patient care.
Instead of juggling multiple requests for the same information, providers can make real-time updates through a single portal or via FTP and are notified when information is accepted by participating plans.
are dedicated to managing provider data. (IHA market research)
of online provider directories for Medicare Advantage Organizations had at least one inaccuracy. (2018 CMS Report)
requirements mean providers must validate information or risk payment delays or removal from health plan member directories.
These organizations are a sample of the 15 Health Plans who participate with Symphony.
Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
The Symphony Provider Directory supports the needs of large provider organizations as well as small independent practices across California. We know that one process does not fit all. No matter how you currently manage provider data, we connect to what works and partner with you to figure out how to streamline what doesn’t.
How Symphony simplifies workflows for provider organizations
How Symphony simplifies workflows for small independent practices
Attestation is currently a painful process that requires a heavy lift from both provider groups and solo practices. The Symphony Provider Directory not only facilitates real-time updates on a routine basis so that quarterly attestation becomes an easy checkpoint, we also enable providers to formally attest for all participating plans in one place.
State and federal policies require that providers periodically validate and attest to the accuracy of the information that health plans share about them with members.
Providers who do not attest within the required timeframe may see a delay of payment and/or removal from health plan member directories.
We are working closely with state and federal regulators as they prepare to update and standardize requirements around attestation.
Read more about how Symphony supports providers in achieving compliance for:
Providers and their staff face a large administrative burden dealing with requests for information from multiple health plans and other organizations. Additionally, keeping track of all the different contractual obligations and other details can be difficult. To help address these challenges, the Symphony Provider Directory:
Learn about the uniform data standards published by DMHC