PRIME
PRIME is a provider lifecycle management solution that verifies provider data through direct outreach and enables FHIR-based data exchange via Provider-Payer Connect. It helps health plans maintain accurate directories, improve compliance, and streamline credentialing workflows.
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PRIME Overview
PRIME is a provider lifecycle management software designed to streamline provider data validation and management for health plans. Leveraging advanced technology and strategic outreach, PRIME ensures accurate, up-to-date provider directories through direct verification. Its powerful Provider-Payer Connect feature enables seamless, FHIR-compatible data exchange between providers and payers, enhancing interoperability and reducing administrative burden. PRIME supports compliance with regulatory standards while improving data quality, operational efficiency, and trust between stakeholders. It serves as a vital tool for credentialing, network adequacy, and provider data governance in the healthcare ecosystem.
Features
Primary Source Data Validation
Provider-Payer Connect (FHIR-Compatible Data Exchange)
Self-Service Portal for Providers
AI-Powered Dashboard and Compliance Monitoring
PRIME Pricing Overview
PRIME Score
Smyte Score
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FAQs
PRIME is provider lifecycle management software that helps streamline provider data validation and management for health plans. It uses technology and strategic expertise to verify provider data through direct outreach, resulting in accurate, timely provider directories.
Provider-Payer Connect is a FHIR-compatible data exchange platform offered by PRIME. It allows seamless provider data flow between providers and payers, enhancing interoperability and reducing administrative burden.
PRIME conducts direct outreach to health systems, provider groups, and individual practitioners to verify essential provider information, achieving a 95% success rate in data accuracy.
Yes, organizations can tailor course content to align with their specific policies and industry requirements, ensuring relevance and effectiveness.
Yes, the platform is accessible on various devices, allowing learners to complete training modules on mobile platforms.
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