Provider contracting, credentialing and enrollment requires a multi-faceted approach and is the foundation for Payer success. Departmental silos, working in excel spreadsheets, manually completing forms, and contracting by mail are all extremely burdensome to both Payers and Providers. The routine monthly updates made to provider data sets, adds, terminations, and location changes can be tedious to manage. Incorrect entry of provider data that route to directories causes inconsistencies and confusion as well as claim delays, member access issues, and even worse, fines and compliance problems. The outcome of these manual processes leads to additional training, duplicative processes, administrative concerns, turnover, and higher costs. To succeed, Payers must have a secure, cloud based, and uniformed solution to manage provider data, automate contracting and enrollment, collect and house documents, and easily locate documents to comply with audits and State compliance requests.
Fourleaf® provides the solution delivers unified system capabilities to keep provider data secure and within one easily accessible platform. Efficiency of time and fiscal resources is always at the forefront of any solution – and Fourleaf® delivers. Integrating automated contracting, document management, task management, and roster ingestion allows automated data transfers and integrations of contracted information into core systems like claims and authorizations. Provider directories can be easily generated, and network adequacy reports delivered in a seamless all-in-one system. Other canned reports to conduct internal audits of staff productivity, and task completion are at management’s fingertips. Unlike other systems on the market, Fourleaf® also offers flexible customization to ensure all provider data points are covered to meet your needs.
Increase revenue – reduce costs
Facilitated automated document management and production
Single interface to manage provider data
More efficient process flow, yielding improved results
Designed with Microsoft Azure PowerApps – rapidly configurable and secure workflows
Electronic contracting powered by DocuSign
Secured follow National Institute of Standards and Technology