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Quality Manager formerly known as abaqis®

Mitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.

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NEW TO THE STORE

hStream Content Marketplace

Connecting you to the Best Content. Access to 75 Partners and 35,000+ Courses in our Industry-Leading Marketplace. Streamline content purchasing, updates, hosting and connectivity for your organizational needs.

NurseGrid Learn

Online store for Clinical Learners. Individual CE Credit and industry products for Clinical Learners are now available through NurseGrid Learn (Beta). Explore our robust collection of courses that provides an unparalleled level of flexibility and choice.

Practitioner Courses

Meet the DEA's new requirement under the Medication Access and Training Expansion (MATE) Act in an online, high-quality and self-paced 8-hour DEA MATE Act course specifically designed for practitioners, including Physicians, PAs, NPs, Pharmacists, Dentists and others.

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CUSTOMER STORY

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ARTICLE

10 Trends for 2024: Absorbing New Technology, Facing New Realities, and Solving Old Problems
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Grow your network

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Maintain compliance

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Deliver network adequacy

Learn more about provider network management

Your one-stop shop for managing and monitoring your provider network

Network directly addresses payer needs with a focus on provider data management and the creation of downstream efficiencies. With Network you get a one-stop shop for solving the unique challenges related to managing a health plan network. This includes seamless provider onboarding, maintaining provider network adequacy, delivering directory accuracy, and complying with industry regulations.

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With Network, you can:

National Committee for Quality Assurance (NCQA) standards, specifically CR1 Element C, Credentialing System Controls which monitor:

 

  • How primary source verification information is received, dated and stored.
  • How modified information is tracked and dated from its initial verification.
  • Titles or roles of staff who are authorized to review, modify and delete information, and circumstances when modification or deletion is appropriate.
  • The security controls in place to protect the information from unauthorized modification.
  • The building security that adequately limits physical access to credentials information. 
  • How the organization monitors its compliance with the policies and procedures related to the factors above.

PRODUCT DETAILS

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Automate & Provide

  • Streamline efficiency with workflows designed for provider data management, compliance monitoring, market expansion, and provider recruitment.
  • Ensure members can find the care they need with accurate directories.

Maintain & Comply

  • Easily measure, manage, and monitor your network coverage to ensure network adequacy.
  • Maintain compliance with the No Surprises Act and other industry regulations.

Consolidate & Delight

  • Store all data, including PSV, workflows, providers, and offices/locations, online - in one place.
  • Create excellent member experiences through increased access, adequacy, and accuracy.

75

Years of experience

#1

The only provider data management systems designed specifically for health plans

A Proud AHIP Member

Through our partnership with AHIP, we are committed to helping make health care better.

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If you’re seeking a single source to manage:

  • Plans, Products and Lines of Business
  • Credentialing
  • Network Management
  • Directory Maintenance 

Request a demo