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:
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.
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.
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
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.
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.
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.