Incomplete or inconsistent provider data erodes member confidence before care decisions are made. Data Management gives health plans a trusted, continually updated source of truth that reduces member friction, eases administrative work, and strengthens compliance.
When provider data is unified, enriched, and continuously validated, every member interaction starts from an accurate foundation. Directories become more reliable, call volumes decrease, and your plan stays audit-ready. Members get a better experience and stronger connections to high-value care.
of consumers found inaccurate provider information within health plan tools
of consumers skipped or delayed care due to inaccurate provider information
of those that skipped care in the past year wanted to schedule an appointment online but were unable to do so
Bringing disconnected provider data sources together, standardizing records, and applying consistent business rules creates a reliable source of truth that supports directories, internal workflows, and member-facing touchpoints – eliminating the inconsistency that comes from disconnected data management.
Richer profiles that go beyond basic directory listings—including photos, care philosophies, scheduling links, language information, telehealth indicators, reviews, and other approved content—give members the information they need to compare options, trust what they see, and move forward with confidence.
AI is only as good as the data behind it. RevSpring’s Enterprise MCP gives health plans a verified, compliant, AI-accessible data layer — so every call center agent, member portal, and AI assistant is grounded in the same validated provider and cost transparency data.
Controlled team access to review, manage, and approve provider data updates improves confidence in the accuracy of every record and the consistency of every member-facing interaction
Scheduling links, language information, reviews, and other approved details added to provider profiles give members the richer information they need to compare options and choose care confidently.
Provider updates captured every 90 days through simplified validation workflows keep data current, support compliance requirements, and reduce the manual burden that less-structured attestation processes create.
Multiple provider data sources connected and transformed into cleaner, more consistent records reduce the fragmentation that creates errors and inconsistencies across systems.
Ongoing data synchronization keeps provider records current and reduces the time-consuming manual corrections created by outdated or inconsistent data across systems.
Appointment scheduling options surfaced within the member experience make next steps easier and more immediate, making it easier to move from provider search to scheduled appointments.
Geisinger Health Plan enriched its digital directory experience with rich provider profiles, and the results demonstrated how data quality directly connects to member action. 79% of participating network providers enhanced their profiles, providers with enhanced profiles saw a 59% increase in interactions, and enhanced profiles generated 114% higher interactions than non-enhanced ones. Better data does more than improve compliance; it changes how members engage.
See how Data Management can reduce friction and improve member confidence.