Modernize Provider Data Operations with PRIME®

PRIME® helps health plans validate provider data, manage delegated and non-delegated networks, and maintain compliant provider directories with confidence

✅ High provider data accuracy with minimal manual effort

✅ Compliant, audit-ready provider directories

✅ Strong network integrity and member experience

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Trusted partner to market-leading brands

Provider Lifecycle Management Platform built for Payers

PRIME® supports the full provider lifecycle from data validation to directory fulfillment, surveys, and audits helping health plans stay compliant while reducing administrative burden.

Provider Data Management

Ensure 98% provider data accuracy and regulatory compliance with a proven validation model that uses primary-source outreach and streamlined update workflows.

Provider Directory Fulfillment

Produce ADA-compliant, print-ready PDF directories that meet CMS mandates. We handle formatting, accessibility standards, and update cycles on your behalf.

Ad-hoc CMS and State Audits

PRIME® simulates CMS and regulatory audits, identifies risks in your data, and helps your team remediate errors before they trigger compliance issues.

Appointment Wait Time Compliance

PRIME® offers a complete, CMS-compliant solution with secret shopper surveys to measure appointment wait times for in-person and telehealth services.

Provider Engagement and Data Validation

Enable providers to review and update their own data using an intuitive self-service portal, reducing manual outreach and ensuring a low-friction validation experience.

Support for All Provider Types

PRIME® is built to support large, complex networks—individual practitioners, group practices, hospital networks, or delegated entities—with flexible workflows and centralized controls.