Pennsylvania Health Plan Extends & Expands Contract With PRIME

PRIME selected by Plan to continue to assist with provider data validation

PRIME is pleased to announce an extension and expansion of its existing provider data validation contract to include hospital and ancillary facilities with a leading Pittsburgh-based non-profit healthcare organization. 

Bob Branchini, CTO of PRIME, explains, "This multi-year extension and expansion enables PRIME to build on its existing relationship with the Plan to support its Medicare, Medicaid, commercial provider networks, and long-term services and program needs. This also ensures they stay compliant with federal and state regulations, including the No Surprises Act." PRIME's comprehensive platform is tailored to meet the needs of their unique and diverse provider network, including up-to-date provider demographic and network data facilitated by PRIME.

About the Pennsylvania Health Plan 
The Plan's mission is to create remarkable health experiences that allow people to be their best. The company and its affiliates are passionate about creating and providing high-quality health insurance, dental insurance, and reinsurance that are both easily accessible and affordable to customers seeking high-quality healthcare.

About PRIME 
PRIME offers innovative healthcare solutions that help health plans improve interoperability with health systems and healthcare providers. PRIME provides a combination of technological innovation, including AI and ML, along with highly trained staff to conduct direct provider outreach resulting in verified provider data with the completeness, timeliness, and quality that enables health plans to achieve their compliance, accuracy, and member experience goals.

Press Contact: 
Karthik Chalamala 
(609) 256-4585

Source: PRIME


Categories: Healthcare Insurance

Tags: Health Plan, Managed Health Care, Medicaid, Medicare, No Surprises Act, Provider Data, Provider Network Management


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PRIME is an industry leading provider data validation solution that integrates with Health Plans, Health Systems / Provider Groups and guarantees provider data accuracy.

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