Provider Network Solutions

Connected, automated, built to scale, and finally easy to manage.

Setting the standard for provider data and network accuracy

Inaccurate data and siloed systems disrupt provider networks. Carelon Global Solutions resolves these challenges with end-to-end, platform-agnostic solutions that streamline onboarding, improve directory accuracy, and enhance network integrity from day one.

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Streamlining provider management from start to finish

We help provider operations run more smoothly, faster, with greater consistency and less effort.

  • Automated contracting, roster updates and pricing configurations
  • Intelligent data ingestion and validation
  • Scaleable automation for high-volume, repeatable processes
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Making provider data work—for everyone who depends on it

We make it easier for members to get care by keeping provider data accurate and up to date.

  • Enhanced directory and demographic accuracy
  • Integrated support across Commercial, Medicaid, Medicare and other government sponsored lines of business
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Powering smarter, faster provider operations

Through smart tools and expert guidance, we help improve decisions and drive better outcomes.

  • Proprietary models that ensure standardized data
  • Digital tools for comparison, audit and issue resolution
  • Regular data cleanup and workflow optimization practice

Streamlined networks with faster and more accurate connections

With accelerated timelines and greater precision, our provider network solutions have a track-record of strengthening provider operations and improving the systems that support care delivery.

5M+

providers managed

99%+

provider data accuracy

500%+

decrease in processing time from 30 days to 5 days through automation

73%

error elimination through automation

Imagine better health for your business and your members