Provider Data

Provider Data encompasses comprehensive information about healthcare providers, including their network affiliations, addresses and contact information, specialties, and other relevant details. To be included in this category, vendors must offer datasets that provide detailed and accurate information on healthcare providers, such as provider network status, physical and mailing addresses, contact details, specialties, credentials, and other pertinent information. The data must be regularly updated to ensure accuracy and compliance with relevant healthcare regulations and standards. Optional features may include tools for advanced search, filtering, and analytics to enhance the utility of the provider data.

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4.5/5
21 min readReviewed on: 09/15/2023
Reviewer
Title: Product Leader
Organization Type: Care Navigation
Summary
  • Product Usage: Ribbon Health was used in an app for a large, self-insured employer to manage employee health, providing real-time, accurate information on provider types, medical services, availability, and insurance acceptance, thus improving provider search.

  • Strengths: The Ribbon Health teams collaborative approach, the products modularity, accuracy of data, and the efficient implementation process were significant strengths.

  • Weaknesses: As the company grew, customer attention reduced, slowing down the response time to concerns, and the initial documentation was weak, but has since improved.

  • Overall Judgment: Despite some initial problems and growing pains, Ribbon Health was an overall good choice due to their attention to customer needs, accurate data provision, and strong, collaborative team. However, as they continue to grow, maintaining their standout qualities will be a challenge.

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3.5/5
14 min readReviewed on: 08/24/2023
Reviewer
Title: Head of Product
Summary
  • Product Usage: The reviewer uses Zelis in their health insurance navigation company to identify in-network providers at various health plans and help customers understand their insurance plans.

  • Strengths: The main strengths of Zelis include direct access to data from insurance carriers, overall API reliability, and established relationships with many insurance carriers.

  • Weaknesses: Some weaknesses noted include outdated API structure, lack of transparency about data updates and availability, restrictions in API usage, and poor support service.

  • Overall Judgment: Despite some obstacles, the reviewer feels they made the correct choice due to Zelis unique data partnership capability and regards it as the best available option for their specific use case.

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4/5
27 min readReviewed on: 07/06/2023
Reviewer
Title: Software Engineer
Organization Type: Commercial Health Plan
Summary
  • Product Usage: Ribbon is used to clean provider and location data for the companys network directory, verify the accuracy of data sources, and provide additional metadata.

  • Strengths: The Ribbon product meets expectations in terms of data quality, is easy to use with a well-documented API, offers great support, and allows for customization without extra charges.

  • Weaknesses: The product has occasional reliability issues, does not provide hierarchical categorization for specialties, making it difficult to pull data at both levels, and the specialties endpoint could be improved.

  • Overall Judgment: The user is satisfied with Ribbons performance and plans to continue using it in the foreseeable future, largely due to the convenience and efficiency it provides. However, further improvements in data categorization and reliability could enhance user experience.

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