The Dynamics of Provider Eligibility Data Management Written By Cristina Stahr Share this How healthcare executives manage provider eligibility data — and what needs to change. Provider eligibility data serves a critical role across the administrative and operational functions of a healthcare organization. It helps inform who gets hired, who gets credentialed, who gets paid, and who stays in your network. It touches credentialing teams and compliance officers, billing departments, and Human Resources. It flows through electronic health records, revenue cycle systems, and HRIS platforms. So why is managing it still such a challenge? To find out, Healthcare Dive, in partnership with ProviderTrust, surveyed 150 C-suite executives from hospitals, health systems, and payers. The results surface a telling tension: 92% of organizations have actively sought to consolidate provider eligibility data, yet only 23% of executives say they’re extremely confident in the quality of what they have. This report explores what the data tells us about where the industry stands, where it’s headed — and what it will take to get there. View the Full Report
