Product overview

A unified platform that modernizes all aspects of your complex provider relationships

With Virtusa Provider Lifecycle Management, you can address the multiple challenges you face in each of these phases and manage your provider network effectively

PROSPECTING

Expand your Provider Network by recruiting providers seamlessly using eForms and high quality prospecting data

CONTRACTING

Expedite the legal contracting process using electronic application, eSignatures, and seamless integrations with multiple enterprise contracting systems

ONBOARDING

Improve the quality, accuracy, and speed of downstream processes by gathering the right information upfront

CREDENTIALING

Automate and accelerate the tedious processes of credentialing providers using Robotic Process Automation (RPA)

CONFIGURING

Improve the speed and quality of loading demographic and complex pricing information into multiple downstream systems and directories by standardizing the data

SERVICING

Create transparency into the overall onboarding process for providers, provider services, and internal departments through a unified and accessible platform

Learn how you can benefit from the PLM platform

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Product Features

Robotic automation

The PLM platform has market leading Robotic capabilities, where significant processes, specifically around Credentialing, are automated and the processes are completed without any human intervention.

Robotic automation


The PLM platform has market leading Robotic capabilities, where significant processes, specifically around Credentialing, are automated and the processes are completed without any human intervention. Removing the manual steps from Primary Source Verification can save >80% in ‘resources time’ for payers. The Solution supports the ability to use Robotics from Data Intake, to Credentialing, to loading demographic and pricing data into systems.

Pre-built integrations

The PLM platform has pre-built integrations for both internal and external sources.

Pre-built integrations

The PLM platform has pre-built integrations for both internal and external sources. Organizations looking for external sources of provider data will be able to utilize our integration for import 1000s of data elements from CAQH. Similarly, the platform supports seamless integrations with internal contracting systems, credentialing systems, claims systems, provider directories and more by modeling the data for upstream and downstream usage.

Interactive dashboards & reporting

Customer Services can now give Providers accurate updates on their overall on-boarding progress and status.

Interactive dashboards & reporting

The PLM platform provides users a clear view into their most critical cases, work items, performance reports, and other insights through interactive dashboards with a rich user experience. Customer Services can now give Providers accurate updates on their overall on-boarding progress and status.

Automated roster file management

The PLM platform enables payers to bulk process roster data from multiple provider organizations, consistently.

Automated roster file management

The PLM platform enables payers to bulk process roster data from multiple provider organizations, consistently. The solution standardizes the data (and complex processes) involved in accurately intaking, formatting, transforming, and loading data from multiple provider organizations into downstream systems. The Roster File Management capabilities takes this manual and repetitive process and automates it to significantly increasing operational efficiency and data accuracy.

Intelligent workflow management

The PLM platform is built on leading enterprise platforms that empower organizations to manage multi-departmental workflows and complex provider data structures.

Intelligent workflow management

The PLM platform is built on leading enterprise platforms that empower organizations to manage multi-departmental workflows and complex provider data structures. The solution has built in Smart Business Rules, Document Checklists, Intelligent Case Routing, pre-defined State-based Rules, Business Admin Portal, and many other capabilities that significantly improve operational efficiencies for Provider & Network Management organizations.

Digital enablement

The PLM platform will drive the digital transformation of the Provider & Network Management organizations at payers.

Digital enablement

The PLM platform will drive the digital transformation of the Provider & Network Management organizations at payers. The platform modernizes the intake of information (online Professional & Ancillary Credentialing Applications), enables eSignature capabilities through the contracting process, provides an Omni Channel approach to access information, delivers a user-centered design with superior UX/UI, and increases user adoption – both internally and externally with providers.

Product experience

With PLM, managing provider relationships no longer needs to be an expensive, inefficient and time consuming process. PLM provides you the ultimate 360 degree view, helping you make informed decisions on the go. It’s time to work smarter!

Experience PLM in action.

Smart Business Rules and Intelligent Case Routing with Pega

Smart Business Rules and Intelligent Case Routing with Pega 7PLM leverages Pegasystems’ core Pega PRPC and Healthcare Industry Foundation Product capabilities to address the many challenges Payers face in Prospecting, Contracting, Credentialing and Pricing Configuration for Providers. The solution is built applying deep industry knowledge to deliver a product that is ready to streamline operations across the provider lifecycle ensuring increased Payer satisfaction, improved efficiency and reduced onboarding time.

 


HITRUST CSF Certified

Virtusa HITRUST CSF CertifiedVirtusa is HITRUST CSF Certified for information security on the following platforms:  Active Directory, Endpoints, and Network Devices. The HITRUST CSF Certified status demonstrates that the organization’s application development, testing, production support, and infrastructure management services teams have met key regulations and industry-defined requirements and are appropriately managing risk.

Transforming Provider Onboarding At A Fortune 500 Healthcare Company

A Fortune 500 Healthcare company that focuses exclusively on providing government- sponsored managed care services.

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Virtusa mentioned in Gartner’s 2019 market guide
for U.S. Healthcare Payers’ Provider Network Management (PNM) applications

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