solution

Provider Lifecycle Management (PLM)

A unified platform that modernizes all aspects of your complex provider relationships

Virtusa's Provider Lifecycle Management (PLM) solution can be built upon leading enterprise BPM and SFA platform capabilities. PLM addresses the many challenges Payers face in Prospecting, Contracting, Onboarding, Credentialing, Pricing Configuration and Servicing for Providers.

Provider Lifecycle Management provides payers with an insightful dashboard that enables them to manage their provider onboarding more effectively. PLM helps you achieve reduced Provider onboarding times, improved Provider satisfaction and reduced operational costs across multiple departments, while improving accuracy of Provider data.

Product overview

A unified platform that modernizes all aspects of your complex provider relationships

With Virtusa Provider Lifecycle Management, you can address the multiple challenges you face in each of these phases and manage your provider network effectively

  • PROSPECTING
    Expand your Provider Network by recruiting providers seamlessly using eForms and high quality prospecting data

  • CONTRACTING
    Expedite the legal contracting process using electronic application, eSignatures, and seamless integrations with multiple enterprise contracting systems

  • ONBOARDING
    Improve the quality, accuracy, and speed of downstream processes by gathering the right information upfront

  • CREDENTIALING
    Automate and accelerate the tedious processes of credentialing providers using Robotic Process Automation (RPA)

  • CONFIGURING
    Improve the speed and quality of loading demographic and complex pricing information into multiple downstream systems and directories by standardizing the data

  • SERVICING
    Create transparency into the overall onboarding process for providers, provider services, and internal departments through a unified and accessible platform
Provider Lifecycle Management - Product overview

Product Features

Robotic automation

The PLM platform has market leading Robotic capabilities, where significant processes, specifically around Credentialing, are automated and the processes are completed without any human intervention.

Pre-built integrations

The PLM platform has pre-built integrations for both internal and external sources. Organizations looking for external sources of provider data will be able to utilize our integration for import 1000s of data elements from CAQH.

Interactive dashboards & reporting

The PLM platform provides users a clear view into their most critical cases, work items, performance reports, and other insights through interactive dashboards with a rich user experience. Customer Services can now give Providers accurate updates on their overall on-boarding progress and status.

Automated roster file management

The PLM platform enables payers to bulk process roster data from multiple provider organizations, consistently. The solution standardizes the data (and complex processes) involved in accurately intaking, formatting, transforming, and loading data from multiple provider organizations into downstream systems.

Intelligent workflow management

The PLM platform is built on leading enterprise platforms that empower organizations to manage multi-departmental workflows and complex provider data structures.

Digital enablement

The PLM platform will drive the digital transformation of the Provider & Network Management organizations at payers. The platform modernizes the intake of information (online Professional & Ancillary Credentialing Applications), enables eSignature capabilities through the contracting process, provides an Omni Channel approach to access information, delivers a user-centered design with superior UX/UI, and increases user adoption – both internally and externally with providers.
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Product Experience

With Provider Lifecycle Management (PLM), managing provider relationships no longer needs to be an expensive, inefficient and time consuming process.

PLM provides you the ultimate 360 degree view, helping you make informed decisions on the go. It's time to work smarter!

Experience PLM in action!

Provider Onboarding at Greater than 50% faster speed

With the technology moving fast why do payer networks need to wait for 50+ days to be onboarded. With effective workflow and intelligent automation opportunity of speed opens up.

Pegasystems

Smart Business Rules and Intelligent Case Routing with Pega

PLM leverages Pegasystems’ core Pega PRPC and Healthcare Industry Foundation Product capabilities to address the many challenges Payers face in Prospecting, Contracting, Credentialing and Pricing Configuration for Providers. The solution is built applying deep industry knowledge to deliver a product that is ready to streamline operations across the provider lifecycle ensuring increased Payer satisfaction, improved efficiency and reduced onboarding time.

Provider Lifecycle Management

HITRUST CSF Certified

Virtusa is HITRUST CSF Certified for information security on the following platforms:  Active Directory, Endpoints, and Network Devices. The HITRUST CSF Certified status demonstrates that the organization’s application development, testing, production support, and infrastructure management services teams have met key regulations and industry-defined requirements and are appropriately managing risk.

Success stories

It’s time to work smarter!

With a unified platform that modernizes all aspects of your complex provider relationships.

Request a demo to experience Provider Lifecycle Management in action!

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