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Provider Data Solutions

Command Direct’s provider services suite is designed to cohesively work together, offering an integrated approach to managing the accuracy of your provider network while meeting all of the necessary accessibility and interoperability requirements. 

Integrated Provider Platform includes:

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FHIR API – Be ready for 2022 and meet CMS Interoperability requirements for a Provider Directory API for a fraction of the cost.

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PAVE – Provider Accuracy, Verification & Enhancement – Ensure your data is accurate and complete.

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Outreach – Command can directly contact your providers to ensure uncertain information is accurate.

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Directory Builder – Build custom-branded printed and 508-compliant provider directories with ease.

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Provider Search – Allow your members and prospects to search for their providers online

FHIR PROVIDER DIRECTORY API

PROVIDER ACCURACY AND VERIFICATION

PROVIDER SEARCH TOOL

PDF AND PRINT DIRECTORY CREATION

OUTREACH - CALL CENTER

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FHIR Provider Directory API

Under the CMS Interoperability and Prior Authorization final rule, plans are required to make provider directory information available via the Provider Directory API. This API must be accessible via a public-facing digital endpoint on the payer’s website. Implementing a fully compliant FHIR API yourself can be cost prohibitive.

Command Direct can host your Provider Directory API for small fraction of that cost.

Combined with our PAVE tool, we can take your provider data, update it with the most accurate information available, append information you don’t have, and then host it through a public API to meet the CMS requirement. And all you need to do is provide us what provider information you have.

FHIR
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Provider Accuracy, Verification & Enhancement

With PAVE, your data will continually be cleansed and updated to ensure that regulatory requirements are met, wasteful print and postage costs are reduced, and member satisfaction rises.

Why PAVE?​

  • Meet the CMS requirements relating to data accuracy

  • Avoid costly penalties or costs  

  • Allow for efficient communications – correct addresses translates to successful outreach

  • Reduce wasted print, mail, return mail and postage

  • Improve member satisfaction – Ensure your members can find their providers

PAVE

Outreach

The resources required to contact Providers for accurate information can be daunting. 

Command Direct’s multi-step approach to outreach will allow for a cost effective and efficient method of acquiring this valuable information.

Call Center

 

Fax

 

Email

 

Web Portal

Outreach
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PDF and Print Directory Creation

Printed directories are still a requirement for members who ask for it. Command Direct creates custom-branded provider directories managed through our online portal.

 

Your directories can be made fully accessible for posting to your website, complete with working table of contents and index links, active web-links, tabs that can bleed off the side of the page, and any fields or layout you require.

Diectory Builder

Provider Search

Command's Provider Search web plug-in gives your members the ability to search for providers by all the variables you require. This valuable tool allows your members to perform radius, specialty and location searches and can be linked to your updated provider data files. It is simple to configure and allows for real time searches that will reduce member calls as well as cutting back the need for printed provider directories.

Integrate Provider Search with PAVE...​

Integrate with our PAVE tool to ensure the information you display to the public is the most accurate.

Provider Search
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