Streamlining data-sharing so you can focus on patient care
We are committed to improving the quality of information that your plans and patients depend on
According to the American Medical Association, the average provider is affiliated with at least 12 health plans and undergoes a rigorous data audit for each one on a regular basis. Despite this effort, health plan directories remain inaccurate, preventing patients from accessing timely care.
In partnership with Availity, the nation’s largest real-time health network, the Symphony Provider Directory centralizes and streamlines the way you share information with health plans. Instead of juggling multiple requests for information, providers can make real-time updates at once through a single platform. This alleviates significant administrative burden for providers while enabling patients to better find and access the care they need.
Did you know
.5-7 FTEs
are dedicated to managing provider data. (IHA market research)
49%
of online provider directories for Medicare Advantage Organizations had at least one inaccuracy. (2018 CMS Report)
SB-137
requirements mean providers must validate information or risk payment delays or removal from health plan member directories.
Participating health plans
These organizations are just some of the 17 health plans and purchasers who participate in Symphony.
Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
Streamline provider data requests
Juggling requests for information from multiple health plans is a heavy administrative burden for providers and their staff. And when this information isn’t provided on time, providers risk getting removed from health plan directories. To address these challenges, Symphony helps organizations of all sizes simplify this mandated data exchange process.
Reduce administrative burden with simplified workflows
Symphony works with 18 of the largest Health Plans and purchasers in California, reducing manual effort associated with multiple data exchange processes.
Save time with a single platform
Symphony and Availity provide a single platform for providers to submit attestations and updates to all participating Symphony plans at once.
Stay on track with regular, automated reminders
Symphony provides reminders and notifications to help providers attest to their data at the required intervals for compliance.
Ensure your data is accurately reflected in health plan directories
Inaccurate provider directories not only hinder timely access to care, but may also delay payment and reimbursement. Symphony addresses these challenges by:
- Automatically prompting providers to review, correct, and validate data from their health plans.
- Providing reports with recommended updates so health plans can easily update their directories with the correct information.
- Improving health plan directory data over time by establishing standard benchmarks for accuracy and completeness.
Additional resources
Learn about the uniform data standards published by DMHC
Maximize industry alignment with plans, providers, and regulators
Keeping track of your obligations with multiple health plans and understanding their various needs can be difficult. Symphony helps plans and providers align, standardize, and stay informed of regulatory changes. Symphony is:
- Aligned with DMHC, DHCS, and Covered California, giving clients a direct line into California’s regulatory landscape and a providing voice in future provider directory improvements
- Led and designed with input from California’s top health plans, provider organizations, health systems, purchasers, and universities to address stakeholders’ needs
- Ensuring compliance with SB-137, CMS guidelines, and other regulatory policies that require providers to periodically attest to the accuracy of their information to keep health plan directories up-to-date