Using sophisticated matching technology, Enclarity gives healthcare payers accurate data for claims processing
ALISO VIEJO, Calif., Nov. 9, 2010 – Enclarity Inc., a leading healthcare information solutions company, today announced ProviderPoint® for Claims Indexing, its latest hosted solution for healthcare payers. The advanced ASP solution streamlines the process of identifying and linking healthcare providers to claims stored in databases or data warehouses, regardless of changes to name and business affiliation. ProviderPoint for Claims Indexing enables healthcare payers to distinguish providers across large volumes of claims history and pinpoint current provider information.
“Claims that are housed in a payer database or warehouse are difficult to aggregate across specific
providers,” said Stephanie Rose-Belcher, vice president for payer solutions, Enclarity. “ProviderPoint for
Claims Indexing can sort out the numerous identifiers associated with the same provider and account for
variations in name, group, specialty and address. Powered by Enclarity, our customers will have the
power to run analytics about provider performance.”
How It Works
Using Enclarity’s proven matching technology, ProviderPoint for Claims Indexing uses the Enclarity
Persistent Key to identify a provider regardless of variations in name or changes in address. After identifying the unique provider, Enclarity applies its Persistent Key to each claim (either in batch or in realtime). Next, Enclarity delivers standardized information about the provider using its Master Provider Referential Database. Then, Enclarity uses its Persistent Key and the updated provider information to aggregate claims over time to support provider performance analytics.
For more information about ProviderPoint for Claims Indexing, visit www.enclarity.com/ppci.php. In
addition, Enclarity has an audio podcast and accompanying presentation available for download.
Enclarity® solves healthcare’s provider information problem. The company delivers correct, current and
comprehensive provider information solutions by blending thousands of data sources, advanced analytics
and healthcare expertise. As a result, its clients improve results in many areas, including claims
processing, provider directories, regulatory compliance and market analysis. Named one of the Top 100
private technology companies in North America by Red Herring magazine and awarded the Global
Healthcare Information Technology Excellence Award by Frost & Sullivan, Enclarity is headquartered in
Aliso Viejo, Calif. For more information, visit www.enclarity.com.
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