Trusted by 16 health plans, including:
We help health plans validate and improve provider data.
Regulations, such as CA SB-137 and Medicare Advantage, require you to keep your directories up to date. We do the legwork for you.
Be Audit Ready.
Audits can result in fines of up to $25K per beneficiary, per day. Our validation services and metadata help protect you and help you do your due diligence.
Keeping provider directories accurate is costly. Join a collaboration that reduces costs by streamlining efforts to validate provider information.
Access Data via easy to use API.
Our API will let accurate data flow into your provider directories and web applications so your members have the best user experience.
Get comprehensive audit support.
We stand by our unique process and fully support you in responding to and preparing a defense to CMS and state regulator provider data audits.
BetterDoctor is confident in our processes and results and are ready to support our clients going through the audit process. When you work with BetterDoctor, you gain a partner to help you present all your outreach efforts in the event of an audit.
For us, primary source attestation means actually getting in touch with the provider and documenting all communication exchanges.
We maintain detailed audit logs of every outreach attempt made to a provider (metadata) so that our clients can see and show exactly what efforts have been done to obtain correct provider data.
Easy access and compliance.
Outreach data is available in an online dashboard that shows the entire history of attestations with a provider.
BetterDoctor’s patented data validation system.
BetterDoctor outreaches each provider once a quarter and shares the data to all health plan clients.
Validate Once, Share Results.
Most providers accept multiple plans, so it's inefficient for each Health Plan to contact them separately.
Smart Validation Methods.
BetterDoctor uses powerful validation methods that make it easy for each provider to attest their information.
Start improving your data and be compliant.Request a demo
OverviewA 21st century answer to provider data problems.
Inaccurate provider data has plagued health plans and consumers alike for too long. BetterDoctor is taking a fresh approach and tackling it using real-time platforms, unparalleled transparency, and a collaborative approach.
Our idea is simple: reduce the administrative burden on health plans and doctors’ offices at the same time by serving as a single source of truth. We aim to be the origin of accurate doctor data.
Our customers rely on us to help them comply with provider directory laws in an affordable, sustainable way that keeps their members happy.
Learn more about our work with health plans and America’s Health Insurance Plans (AHIP) here.
Be regulation compliant.
BetterDoctor keeps your provider directories up to date to satisfy:
- Medicare Advantage Standards
- Exchange/Marketplace (Machine Readable) Standards
- Medicaid Managed Care
- Managed Care Network Adequacy Model Act (NAIC)
- California’s SB-137
- Active rules in: KY, MA, LA, HI, NH, IL, MT
White Paper The challenges behind fixing provider directory data.
- Challenges health plans face in keeping provider directory data accurate
- Challenges providers face in updating their information
- A summary of provider directory regulations across the country
- Best practices for keeping provider directories up to date
You can download white paper here.
Latest News See more
The provider directory ecosystem. Get Involved.
Doctors & Provider Groups
Claim your profile and update your data. Verify your data through our fax, phone, and email outreach. Notify us of changes.
Health Insurance Companies
Send us your provider directory files and we can help you prioritize outreach and data validation work.
Health Systems, IPAs & Hospitals
Send us your provider roster and we will notify health insurance companies of changes and status changes.
Get access to high quality provider data to enable new consumer tools and audit data.