While Virtusa's PLM unifies the operational pillars of recruiting, contracting, onboarding, credentialing, configuration, and roster servicing, its backbone is the Master Data Management and Provider Golden Record. Our approach integrates advanced AI-driven automation, geo-spatial analytics, and our own deep understanding of the provider onboarding and management process.

The PLM advantage

By consolidating fragmented data into a single golden record, PLM enables payers to bridge network gaps, automate complex contracting, and maintain rigorous NCQA and URAC compliance parameters.

This framework doesn’t just manage data; it provides real-time intelligence and policy adaptability to ensure operational precision and regulatory stability.

Core capabilities

PLM deploys diverse and strategic capabilities, including advanced network adequacy and recruitment, AI-accelerated contracting, automated onboarding and servicing, RPA-enhanced credentialing, and more.

1. Geospatial network adequacy: Employs advanced analytics and geocoding to identify network gaps and prioritize recruitment by specialty and geography, ensuring 24/7 compliance with state and NCQA standards.

2. GenAI-accelerated contracting: Accelerates the lifecycle with auto-generated drafts and automated analysis for value-based care (VBC) models, providing full visibility into rates and performance terms.

3. RPA-enhanced credentialing: Utilizes Robotic Process Automation (RPA) for error-free Primary Source Verification (PSV) and predictive Turnaround Time (TAT) modeling to manage cycle times proactively.

4. Unified provider data mastery: Utilizes a core MDM engine to conduct probabilistic matching, eliminate duplicates, and ingest disparate rosters, pushing a validated "Provider Golden Record" to claims and directories via real-time APIs.

5. Automated onboarding and servicing: Accelerates "go-live" through multispecialty workflows and automated document collection, complemented by AI-driven delegation oversight for roster management.

6. Regulatory and directory governance: Real-time AI auditing ensures directory accuracy and strict adherence to the No Surprises Act and CMS transparency requirements.

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