Provider-payer connect solutions for streamlined healthcare workflows

A breakthrough in real-time data transfer

Why provider-payer connect is important

Accurate provider data – from specialties to addresses to languages spoken – is the backbone of successful health systems and provider groups. When data is outdated, everything from payment cycles to patient relationships can be affected. Yet the systems for keeping this crucial information current are often old-fashioned, and the resources scant. At the same time, health plans and their members expect provider data to be updated in real-time, or close to it, to assure care access and avoid "surprise" medical bills.

The atlas advantage

Atlas has pioneered the creation of a new, FHIR-compatible platform for health provider data exchange: Provider-Payer Connect. This simple yet powerful offering allows data to flow seamlessly from provider to health system to payer, delivering near-real-time updates and meeting all formatting and interoperability requirements. Atlas works with health systems and payers alike to meet today’s data needs and take away the burden of data updating.

Simplify data management

Say goodbye to juggling multiple spreadsheets and paperwork & custom data transmissions. Our software consolidates all your provider demographic data into a single, user friendly platform. Reduce manual input and human error with our intelligent data capture technology. We also track important changes such as sanctions, specialty switches, and retirements.

Key Benefits:

Support for data input and output in any format, layout, and ingestion method
Centralized provider data management platform
Automated data entry
FHIR monitoring services

Accelerate submission processes

Our system automates the submission process to all payors, reducing the time spent on data entry, custom formats, and approvals. Ensure accuracy with built in consistency checks that identify errors before submission. Through the interoperable PRIME platform, health plans can be updated in real time, allowing members access to the latest information for their care decisions.

Key Benefits:

Streamlined workflows
Real-time submission and validation
Automated data validation and processing engine

Boost compliance and transparency

Stay compliant with the latest healthcare regulations and standards with automated updates and compliance checks. Monitor Provider and Payor performance & track cycles through robust reporting and dashboards. Maintain a comprehensive history of data changes and submissions for easy auditing and tracking.

Key Benefits:

Regulatory adherence
Robust reporting and dashboards
Audit trails

Enhance Roster Reconciliation

Our payor roster reconciliation & monitoring service automates periodic roster reconciliation between health plans and provider groups. Facilitate seamless collaboration among your team members with real time data access and shared workflows. Communicate within the platform using work queue management to address issues swiftly and keep everyone on the same page.

Key Benefits:

Payer roster reconciliation
Team access
Integrated communication

Why Choose Atlas Systems?

Boost the efficiency of data updates and transfers

Ensure provider data accuracy

Handle thousands of providers and hundreds of plans with no difficulty

Over 15 years of experience ensuring our clients in healthcare stay compliant

Connect with us to eliminate your business inefficiencies

Trusted by global leaders

FAQs about Provider-Payer Connect Solutions

How does Atlas Systems ensure data security in its Provider-Payer Connect solution?

Atlas Systems safeguards data through encryption, role-based access, continuous monitoring, and strict adherence to healthcare data protection standards.

How can organizations get started with implementing Atlas Systems' Provider-Payer Connect solution?

Organizations can begin by working with Atlas Systems to assess their provider-payer data exchange needs and configure workflows to align with operational requirements.

What types of data can be exchanged using Atlas Systems’ Provider-Payer Connect?

Atlas Systems' solution supports the exchange of provider rosters, credentialing updates, claims data, eligibility information, and directory updates.

Can Atlas Systems integrate with existing provider and payer systems?

Yes, Atlas Systems' provider payer connect software is designed to integrate with EMRs, credentialing systems, billing platforms, and payer directories.

How quickly can Atlas Systems’ Provider-Payer Connect solution be deployed?

Deployment timelines vary by system complexity, but Atlas Systems' prebuilt integration modules and workflow templates help speed up implementation.

What are the cost savings associated with Atlas Systems’ provider-payer connectivity?

By reducing claim denials, minimizing manual data entry, and automating roster updates, Atlas Systems' PPC solution helps organizations lower administrative costs and improve reimbursement cycles.