Provider Directory Rules Database
PDRules. Provider Directory Requirements, Simplified.
Introducing the Provider Directory Rules Database
PDRules is powered by Link, a BRG DRIVE™ application, and helps health plans to mitigate risk by staying current on provider directory requirements at both the federal and state levels.
Health plans are required to provide and maintain accurate listings of both facilities and physicians that participate in their provider networks. Regulators and enforcement agencies are increasingly taking the view that outdated or inaccurate provider directories potentially prevent enrollees from receiving the care they need. As a result, new regulations and requirements—at the federal and state levels—around provider directories are being developed at an appreciable rate. These requirements often dictate not only what information is to be displayed, but also how current and accessible that information needs to be.
Given this environment, health plans operating in multiple states often find it difficult to stay current on the relevant rules and potentially risk enrollment sanctions, monetary penalties, or more costly litigation.
PDRules is offered on a subscription basis. For further information, please contact:
Brian E. Hoyt
bhoyt@thinkbrg.com
202.480.2762