DRAGONFLY®
Enterprise Provider Data Management
All roads in healthcare run through provider data
Dirty data impacts costs more than you think
Dragonfly gives you a single source of truth available across every system, workflow, and environment
| The Pain | The Issue | The Result |
|---|---|---|
| Dirty Provider Data | 81% of provider directories contain inaccurate data | Downstream output is flawed. Bad data drives bad decisions. |
| No Data Ownership | Multiple, siloed departments maintain separate systems with no checks or balances | All connected systems and processes are at risk for accuracy and compliance. |
| Claims Processing | Auto-adjudication rates are low, driving pended claim volume and cost | A 100,000-member plan loses .9M annually at a 75% auto-adjudication rate. |
| Timely Data Access | 71% of plans report poor real-time access to key provider data | All connected systems and processes are at risk for timely processing. |
| Provider Rosters | Roster data is untimely, incomplete or inaccurate, in non-standard formats | Manual reconciliation creates bottlenecks and introduces additional errors. |
| Regulatory Compliance | CMS and No Surprises Act requirements demand real-time directory accuracy | Plans face MMS CAPs and fines of 50K+ per violation. |
The Financial Drag — Auto-Adjudication Alone
22x
Higher cost per pended claim
$20 vs. $0.90
25%+
Of pended claims tied directly to provider data errors
3M+
Annual exposure at industry-average pend rates
UNLOCK YOUR
PROVIDER DATA
PROVIDER DATA
- Improving STAR bonus revenue by just 1/2% translates to millions
- Reduce/Eliminate CMS fines for inaccurate provider directories
- CAPs become a thing of the past
- Better VBC accuracy starts with higher quality provider data