Format
60-minute envisioning session to start
Who it's for
Payer network management, credentialing and compliance leaders
Investment
Contact us for pricing
The problem
Provider data lives in credentialing, the claims database, NPPES and beyond, with no golden record and no shared workflow. Onboarding is slow and paper-heavy, nothing keeps the data clean, and the result is claim denials, audit exposure, Star Rating drag and inaccurate directories that hurt member access.
What we do
We connect the full provider lifecycle on the Microsoft cloud: centralize every provider into one governed record, automate onboarding, credentialing and issue resolution, and layer agentic AI to monitor performance and keep the network current and compliant.
What you get
- One golden provider record across credentialing, claims and NPPES
- Automated onboarding and issue resolution instead of manual handoffs
- Continuous compliance and network-adequacy monitoring
- Cleaner data, fewer denials and faster provider payments
- Accurate directories that improve member care access
- Proactive Star Rating and performance management
- Reduced manual FTE labor cost and audit risk
The Microsoft stack behind it
- Hub
- Dynamics 365 SalesPower Platform
- Spoke
- Customer Insights – Journeys & DataDynamics 365 Customer ServicePower AutomateCopilot StudioCopilot for Sales
- Secondary
- Azure Data ServicesMicrosoft Fabric