Provider Atlas Edge

One Source of Truth for Provider Data with Provider Atlas Edge

Provider Atlas Edge (formerly Provider Data Management) reduces operational friction, compliance risk, and administrative risk through a single, reliable source of truth across the payer data ecosystem.​

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What Sets Provider Atlas Edge Apart for Health Plans

Provider Atlas Edge delivers accurate, compliant provider data across operations, network teams, and technology.

Operational Excellence

Operational Excellence and Monitoring

  • Intelligent Fallout Management
  • Record-level Transaction Visibility
  • Live Monitoring Dashboards
  • Reduced Member and Provider Abrasion

Data Quality and Governance

Keep provider directories accurate and compliant, reducing member friction and abrasion.

  • 500+ Validation Checks
  • Complete Data Lineage & Audit
  • Intelligent Data Mastering

Next Generation Provider Data Management with Provider Atlas Edge

A scalable, cloud-native platform with open APIs that distributes clean data to every downstream system.

  • Cloud-native SaaS
  • Configurable distribution
  • Open API integration
  • Low/No Code Framework

Provider Atlas Edge Ingestion & Mastering

Rapidly ingest provider data from multiple external and internal sources and master it into one trusted record.

  • Pathfinder exclude icon Multi-source ingestion
  • Nurse assistant emergency icon Golden-record mastering
  • Insert side icon Automated matching
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Provider Atlas Edge Enrichment & Workflow

Data enrichment through validation checks and easy-to-use workflows 500+ built-in quality checks and third-party enrichment ensure provider data is accurate and complete.

  • Optimization icon 500+ quality checks
  • Hierarchy icon Third-party validations (NPPES, address standardization, attestation)
  • Praying hand icon Continuous validation
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Distribution & Integration

Configurable distribution pushes clean, current provider data to every downstream system in real time, with native core admin integration.

  • Target icon Self-service module to configure, schedule, and deliver extracts
  • Combine icon Open API delivery
  • Download file icon Native CAPS integration
Capability visual — reporting & insights
Provider Atlas Edge Capabilities

Clean Data, Less Friction, ​Stronger Compliance​

Bring to front

Data Ingestion & Mastering

Ingest and master provider data from any source into one trusted golden record.

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Data Quality & Enrichment

500+ automated quality checks and enrichment keep provider data accurate and complete.

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Directory & Distribution

Distribute clean, current provider data to every downstream system in real time.

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Compliance & Attestation

Keep provider directories audit-ready and compliant with regulatory requirements.

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Learn how PEHP improved administrative efficiencies with Provider Atlas Edge

"As soon as we got Provider Atlas Edge in, we did all the cleanup on our data and we got a 13% to 15% increase on the auto adjudication rate. That’s not insignificant for us, it has been extremely impactful."

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