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.
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
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
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