ALISO VIEJO, Calif. - April 12, 2006 On May 23, 2007, the healthcare
industry faces a national mandate to adopt one National Provider Identifier
(NPI) for each healthcare provider. To help providers comply with NPI
requirements and avoid potential problems, Enclarity, Inc., an information
management and analytic software company focused on the healthcare
market, today introduced NPI Enabler software.
NPI is a standard unique health identifier for healthcare providers that
replaces the use of legacy provider identification numbers. The 10-digit
identifiers, mandated by The Health Insurance Portability and Accountability
Act (HIPAA) beginning May 23, 2007, are intended to simplify communication
and administration between providers and health plans.
"The impending NPI requirement will be a huge problem for healthcare
organizations whose legacy systems lack accurate and complete provider
data," said Sean Downs, Enclarity's president and CEO. "Unless they act now
to fix this problem and prepare for NPI, compliance issues will become
expensive in both money and time."
Enclarity NPI Enabler dramatically simplifies the complexities of integrating NPI
into healthcare organizations' legacy systems. The software brings Enclarity's
sophisticated provider matching algorithms information management
techniques, including proven data integration methods, to provide the most
reliable and dependable NPI crosswalking available in the market today. By
leveraging the power of Enclarity's massive Master Provider Data File and its
data integrity capabilities, NPI Enabler ensures that its customers will be
equipped to meet the regulatory requirements of NPI by:
* Improving provider data integrity in legacy systems by standardizing, de-
duplicating and cleaning the data
* Accurately matching provider information to the NPI number by identifying
the relationships of the data through proprietary scoring and analytical
methods
* Augmenting the records with current data from Enclarity's Master Provider
File to capture the complete view of the provider
* Identifying the various relationships between providers, affiliates and other
entities (i.e., subgroups)
* Maintaining and updating NPI crosswalks as new provider information comes
in and changes occur to existing data to keep the information up-to-date
Inaccurate provider data has long been a problem for health plans, which
have tried a variety of approaches to solve the problem, with little success.
Until Enclarity introduced ProviderPoint", the foundation for the company's
NPI Enabler software, there was no systematic and automatic way for
healthcare payers to establish and maintain accurate provider data.
ProviderPoint is the first proven solution to accurately, automatically and
systematically cleanse bad provider data and keep it clean. The software
has a proven track record with health plans in finding the 50 to 70 percent of
provider data that is inaccurate, and in fixing those errors overnight.
ProviderPoint applies advanced analytics and proprietary technology coupled
with a massive referential database of more than 30 million records to clean
provider files, correcting a half-million providers records per hour.
NPI Enabler and ProviderPoint are offered through a secure, Enclarity-hosted
web service (ASP), freeing customers from having to purchase, maintain or
upgrade software.
Enclarity will demonstrate NPI Enabler and ProviderPoint in booth 235 at the
National Managed Health Care Congress (NMHCC) conference in Washington,
D.C., April 24-26 and in booth 1356 at the Risk and Insurance Management
Society (RIMS) conference in Honolulu, April 23-27.
About Enclarity
Enclarity brings new solutions to fight an old problem for healthcare and
insurance payers: provider data errors. The company's software uses
advanced analytics and proprietary technology coupled with a massive
referential database and telephone verification to clean provider files,
assuring the data is accurate and current, increasing the productivity and
profitability of our customers.
From keeping provider records correct and up-to-date with integrated
solutions to helping businesses prepare for the National Provider Identifier
mandates, Enclarity dramatically improves the integrity and reliability of
healthcare data.
Enclarity, Inc. is a privately held company headquartered in Aliso Viejo,
California. For more information, visit www.enclarity.com.
Better provider data. Right now."