Provider Data Management & Credentialing

Firstsource’s healthcare provider data management and credentialing services leverage secure data management, leading-edge automation and skilled personnel to ensure always accurate data.

Improve support and eliminate risk with always accurate provider data

The risks of maintaining inaccurate provider data can be long-lasting and expensive in terms of audits and fines, reputation damage, and lost revenues resulting from dissatisfied members and providers. Today’s healthcare payers need a proactive, consistent way to keep provider information up to date—to enhance member and provider satisfaction, process claims faster, and grow revenue.

Firstsource’s Provider Data Management and Credentialing services save you from the pain and penalties associated with inaccurate or out-of-date provider data. Both high-tech and high-touch, our solutions combine secure data management, leading-edge automation, and skilled personnel enabling your operations to function effectively on the best data available. We not only research discrepancies to correct issues today; we also identify and address the root cause of problems to drive immediate, superior member and provider support—as well as future service improvement.

Stay Ahead

We continuously keep up with changes in professional, clinical, and demographic information by accessing multiple, comprehensive data sources

Our high-speed, high-resolution imaging technology and centralised data management keep credentialing documents securely stored and close at hand.

Keeping provider network information up to date requires consistency, diligence and a personal touch. Firstsource’s Provider Data Management and Credentialing services help payers:

  • Correctly represent providers under contract
  • Verify the number of physicians in your network
  • Ensure members can find doctors and get treatment
  • Protect members from unnecessary out-of-network medical expenses
  • Significantly reduce risk of fines, sanctions, class-action litigation, and reputation damage
  • Increase auto-adjudication rates and revenue
  • Shrink operating costs across business functions
  • Increase member and provider satisfaction

Why Firstsource?

"Leader" in the IAOP Outsourcing 100 List for 2017

This prestigious designation is granted only to the best and most disruptive BPO companies

Trusted by FTSE 100 & Fortune 500 companies

We believe in long term partnerships - over half of our clients have been with us for 7 years or longer

18,000+ people in 38 global delivery centers

We deliver 24/7 customer support aided by advanced analytics, RPA and cutting-edge technology

Ready to get in touch and grow your business?
Tell us a little more so we can connect you with the right person
Last step!
Let us know which solutions you're most interested in


Let's Talk

Related Pages

Healthcare Claims Administration

For healthcare payers, we provide best-practice workflows, technology and support for efficient healthcare claim processing thereby delivering improved customer experience resulting in growth and increased revenue.

Member Enrollment, Billing and Eligibility

Firstsource's member enrollment, billing and eligibility support services enable healthcare payers to deliver high-quality services while remaining profitable and competitive.

Omnichannel Contact Center

Firstsource's omnichannel contact center solution is designed to help payers increase revenues, decrease their cost to serve, and improve their Net Promoter Scores (NPS).

Get in touch