PRIME Announces New Engagement With Maryland Health Plan

Plan selects PRIME to audit their provider directory network annually

PRIME is pleased to announce a new engagement with our existing client, a prominent Maryland Health Plan which offers the most extensive network for Medical, Vision, and Dental insurance through its dual headquarters in Baltimore, Maryland, and Washington, D.C. 

This contract expands PRIME's relationship with the Plan to include the annual audit of their provider directory network, focusing on the accuracy of 12 key data elements associated with their delegated and non-delegated network. Bob Branchini, CTO of PRIME, explains, "This engagement expands our relationship with the Plan and will enhance member experience by ensuring the quality of their provider data." 

About the Maryland Health Plan 
The Plan has served 3.3 million individuals and employers in Maryland, Washington, D.C., and Northern Virginia. It is the largest and most respected health care insurer in the Mid-Atlantic region. The not-for-profit healthcare company has been in operation for 85 years and is an independent licensee of the Blue Cross/Blue Shield Association. 

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, Medicare Advantage, PRIME, 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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