For an organization looking to tackle the complexities that arise from not having a centralized data source, the question becomes, where do I start? For Mey, the answer is simple: with your credentialing data.
“Credentialing is a piece of the puzzle; it’s a gear in the machine that converts provider data,” he said. “It’s the foundational level of data, and then you build on top of it, floor by floor.” But without interconnection of that foundational data, teams run into operational inefficiencies and ultimately, financial and regulatory risk. Creating a centralized source of truth, however, allows for data to be automatically distributed to teams in a timely fashion, without confusion or questions around when information will be available. “It’s self-service,” says Mey. “And that’s an important aspect to unpack around user engagement.”
When it comes to user engagement and self-service around provider data, the goal should be to reuse components of your data to share that information across recruiting, contracting credentialing and so forth. “It’s not just about provider onboarding,” added Mey.
“It’s so claims systems have everything they need to get it right the first time.” Beyond the use case of provider directories, Mey continues, comes more “downstream” activity, like connecting with vendors, welcome packet coordination, and more. “There are many use cases, but it boils down to having the correct information, the first time around.”
How to achieve data transparency with Verifiable
Verifiable is powered by a real-time verification engine that automates the credentialing, and simplifies an organization’s entire network operations. The best part? Verifiable operates directly in Salesforce, enabling reliable data that is easily accessible.
“It’s like peanut butter and jelly—they’re better together,” said Mey. “We’re solving the credentialing use case in Salesforce utilizing NCQA standards, so credentialing can be solved from end to end. Essentially, by piping over historic data from a legacy system or spreadsheet into Verifiable’s platform, you’re actively getting real data pumped into logical fields in Salesforce as well.”
With Verifiable, every field that credentialing data is mapped to is fully reportable, allowing users to customize reports easily thanks to an existing universal data model.
“Automation isn’t a new concept anymore—you can get your teams out of the tactical, manual process of primary source verifications (PSVs) and ultimately have your data in one place. Then, teams are free to get out of the tactical work and focus on strategic initiatives, like credentialing program management or process improvement initiatives” — Kyle Mey
With Verifiable’s partnership and integration with Salesforce, organizations bypass the “manual walking across the aisle,” and can count on data automation to streamline a number of processes. It creates a sustainable operating system that can drive the organization into the future, eliminating waste and delivering transparency into what’s going on with your provider verification data.