Keeping provider directories accurate is essential for seamless provider workflows, member experience, network operations, and regulatory compliance. Yet too often, updates happen outside the normal workflow—creating friction for practices, rework for plans, and uncertainty for patients.
NaviNet’s approach focuses on flagging potential data discrepancies across health plan provider data and prompting the user to either attest to or update their demographic information, rather than systematically changing the data on their behalf. This attestation-first model centers transparency and accountability: providers stay in control of their information, and plans gain reliable updates with clear audit trails.
Why attestation‑first matters
- Respects clinical workflows. Changes happen with provider acknowledgement, not behind the scenes—helping to reduce both confusion at the front desk and downstream call volumes.
- Builds trust. Providers see what’s changing and why, and can confirm or correct details quickly.
- Improves accuracy. Attestation and documentation create a defensible record of updates across systems.
- Reduces rework. Clear prompts and inline updates aim to cut repeat outreach and support escalations.
How NaviNet supports the workflow
- Discrepancy detection: Potential data gaps are flagged across plan sources and surfaced to the right users.
- Guided prompts: Providers can attest or update demographic information directly in workflow—no extra portals or manual processes.
- NaviNet Open Document Exchange: When documentation is needed (e.g., credentialing artifacts or office changes), exchanges are handled securely within everyday tasks, with auditability built in.
- Configurable delivery: Health plans tailor when and how updates appear, aligning with internal processes and compliance needs.
See the workflow in action
If you’re exploring “provider office update requests” as a practical starting point, we’ve documented a concise, real world‑ pattern here: Use Case: Provider Office Update Requests
Talk with our team
Health plan leaders: Ready to improve directory accuracy with attestation‑first updates and secure document workflows?
We’ll tailor a brief walkthrough to your current provider data update process and show how NaviNet can help reduce rework, improve auditability, and build trust with your network.
Bottom line: Accurate provider data starts with stewardship—flagging discrepancies, prompting attestation, and securing documentation in the same workflows teams use every day with NaviNet.
