Provider Data Accuracy Resources Your Guide to Success in the No Surprises Act Era

Provider Data Accuracy

The Essential Planner

Knowledge is power. Using this assessment you and your team can prepare for the Provider Directory Verification mandate by gaining a deeper understanding of your current provider data accuracy processes. By identifying key answers and targets, we can ensure that our provider directories stay accurate and compliant. Don’t wait, check out our Essential Planner today!

Data Management Tips

How to Comply with the provider directory Requirements

Discover how to design a repeatable, defendable and compliance-driven provider data management process that meets the requirements of the No Surprises Act.

All Things No Surprises Act

Webinar Breaking Silos, Leveraging Efficiencies and Reducing Risk
BREAKING SILOS, LEVERAGING EFFICIENCIES AND REDUCING RISK Seeking scalability and visibility across all of Molina’s networks, one of their new SVPs started putting a plan in motion that has led...
Provider Data Management Tips to Successfully Meet the No Surprises Act
We know the No Surprises Act can be a bit confusing, but no worries, we’re here to help. In this blog post, we’ll be sharing some insider insights and provider...
The Growing Need for Accurate Provider Data
Gather around healthcare enthusiasts! The focus on accurate provider data is heating up and we have the inside scoop. From federal and state regulations to health policymakers, the buzz is...
Why Enterprise Provider Network Management is Important for Health Plans
Times are changing my friend. As someone in the world of provider network management, you know this better than most. From increasing turnover rates on all fronts to ever-morphing work...
The Secret to Provider Data Management Success: Daily Tracking and Measuring
Provider information changes all the time, and if you’re not keeping up with those changes, you could miss out and be at risk of non-compliance. With 20% of providers shaking...
Creating an Effective Provider Data Management Strategy
It is Friday afternoon, and all you can think about is getting out on the green tomorrow at the top-notch golf course everyone talks about. The only problem is scoring...
How Dynamic Provider Network Reports and Analytics Deliver Insights Straight to the Top
In a constantly evolving provider network environment, you need timely and current data to guide your decision-making and strategic planning processes. Manually sorting through large datasets is complex, time-consuming, and...
Teamwork Over Silos: How to Improve Your Provider Data Management
Whether you’re navigating compliance, forging new networks, or skyrocketing sales, one thing’s crystal clear—future success lies in internal alignment and communication. Let’s look at how breaking down silos within your...
Enhancing Provider Data Accuracy: Overcoming Organizational Barriers
Enhancing Provider Data Accuracy: Overcoming Organizational Barriers Download Now! The Power Of Enterprise Efficiency Overcoming data inefficiencies can be a challenge when processes are fragmented and prone to delays. But...
Provider Data Accuracy Oversight Increasing Across All Healthcare Markets
Provider Data Accuracy Oversight Increasing Across All Healthcare Markets Download Now! Addressing the Growing need for Provider Data Accuracy Provider data accuracy is the key to delivering top-notch healthcare services....
Provider Data Accuracy Infographic: The Inflated Provider Network
Provider Data Accuracy Infographic: The Inflated Provider Network Download Now! The Hidden Impact of Inaccurate and Outdated Data on Your Provider Network Is your provider data painting an accurate picture?...
The Impact of Provider Data Accuracy on Network Adequacy
The Impact of Provider Data Accuracy on Network Adequacy Download Now! Revealing the Powerful Link between Provider Data Accuracy and Network Adequacy Managing a health plan provider network is like...
Top 5 Reasons Why Provider Directories are Often Inaccurate
Outdated information, compliance challenges, and administrative complexities ─ inaccuracies in provider directories can make your head spin. In this blog, we’ll uncover the top 5 reasons why provider directories often...
Quest Enterprise Services Accuracy: Areas of Future Innovation
Who doesn’t love a sneak peek? We can’t wait to show you what’s next for Quest Enterprise Services Accuracy. Here are four innovative areas you can expect from us.  Innovation...
Examining the Effects of Unverified Provider Data
Examining the Effects of Unverified Provider Data Download the Infographic Now! Curious about the Surprising Impact of Unverified Provider Data? Have you ever wondered what could happen to the strength...
Provider Data Accuracy Unveiled: Secrets to Improve Outcomes
Provider data accuracy is the superpower behind efficient operations, smart decision-making, and amazing outcomes in the healthcare industry. But let’s face it, provider data accuracy can be a tricky business....
Unverified Provider Data: The Hidden Costs and How to Solve Them
You’re probably aware of all the buzz surrounding provider data accuracy. And as someone who takes their job seriously, you probably think about this all the time. You might even...
Solving Provider Suppression for Health Plan Success
Solving Provider Suppression for Health Plan Success Dealing with provider suppression challenges? James Lamb, VP of National Payers at Quest Analytics, shares his expert insights on resolving this persistent issue....

New Video

How to Show Compliance with the No Surprises Act

We have the inside scoop on how you, as a health plan, can be in compliance with the No Surprises Act Provider Directory Verification requirements. Zach Snyder, VP of Government Affairs, Quest Analytics, explains the workflow you can use to meet these guidelines and demonstrate that you’re making efforts to be in compliance.


The Guide for Accurate Provider Directories

There’s a new era for provider directories and we’re here to help you navigate it. From roles & responsibilities to proven strategies to ProTips, we’re covering everything Payers need to know. Download your copy now to stay ahead of the game.

Provider Data Management Tips to Successfully Meet the No Surprises Act

Health plans must have a documented, defendable process in place to show the effort they’re making to comply with the provider directory verification requirements. What should this process look like? We have the answer! 

FAQs and Provider Directory Requirements: Key Tips and Targets

We answer the most frequently asked question that health plans are asking us regarding the CAA Provider Directory Requirements. We also share tips and targets to help you get ahead in the coming months.

The Hottest Trends across health insurance markets

The data is in—and it’s clear: provider network oversight, provider data accuracy and provider data transparency are the hot trends across all health insurance markets. Find out what this means for you.

On-Demand Webinar: AHIP & Quest Analytics Present


Quest Analytics partnered with AHIP to continue the conversation about the new Provider Directory Verification requirements listed in the No Surprises Act. Watch now and learn about:

  • The new provider directory accuracy requirements for health plans and providers
  • The impact the requirements have on your business
  • Which strategies to implement now

Access On-Demand Webinar

On-Demand Webinar

No Surprises Act: What You Need to Know and Why

The No Surprises Act includes regulations that will affect most of our health plan clients. As many are just learning about the new provider data requirements, we want to share the cliff notes and answer the most common questions. Watch the on-demand webinar to learn best practices, strategies, and actionable steps you can take today to align with the new federal requirements.

The New Provider Directory Accuracy Mandate

Under the No Surprises Act, commercial, qualified health plans (QHPs), and employer-based health plans are required to maintain accurate provider directories. Read our legislative brief to learn about the new requirements that health plans and providers need to meet.

White Paper

Surprises in the No Surprises Act for Health Plans and Providers

The new provider directory verification requirements continue to surprise most health plans and providers. Discover what each party needs to do to update the provider directory, and how to design your process to comply with the accuracy requirements.

Best Practices

Implementation In Four Phases

There is a lot to consider and accomplish as you prepare for the mandate. Where do you begin? What happens next? What is a realistic timeline? We’ve mapped out the process for you. Download the Four Phases of Implementing a Provider Data Verification process.

Best Practices

Eleven Questions to Ask Your Teams

As a best practice when preparing for the Provider Data and Directory Verification mandate, it is imperative that you understand your current process. Download the top eleven questions we recommend you ask your teams

Best Practices

Frequently Asked Questions

Section 116: Protecting Patients and Improving the Accuracy of the Provider Directory Information, requires health plans and providers to work together to maintain up-to-date provider directories. Discover the answers to the top questions about the new requirements.


Insights Article


Insights Article



Our main priority is assisting you with your day-to-day roles and responsibilities of ensuring accurate provider directories and adequate health networks, in turn, maintaining appropriate access to care for your members. We encourage you to lean on us as much as you need. Each of us at Quest Analytics has the tools and technology to help you and your team meet the needs and goals you have for your Medicare Advantage, Medicaid and Commercial lines of business.

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