PROVIDER DATA MANAGEMENT

We set up, clean up, and maintain your organization's profile in Availity Essentials, and we complete your 90-day directory attestations across every contracted payer, on time, every quarter. For plans that route all demographic changes and roster files exclusively through Availity PDM, we manage the entire intake channel on your behalf, so one missed portal task never becomes a directory removal.

From new Type 1 NPIs for incoming RBTs and BCBAs to organization NPIs and taxonomy corrections, we keep your NPPES records accurate and aligned with your enrollment and billing setup. With Florida Medicaid now requiring an active NPI for behavior analysis providers, we make sure every practitioner on your roster meets the requirement before it ever touches a claim.

Every payer wants roster changes in its own format, on its own form, through its own channel. We prepare and submit practitioner additions and terminations across all of your contracted plans, track each one to written confirmation, and keep your internal roster reconciled with what each payer actually shows. New hires start billable sooner, and departed staff stop appearing in directories they should have left months ago.

  Commercial recredentialing typically comes due every two to three years, and Medicaid revalidation runs on its own cycle. We track every practitioner's dates, begin outreach months before each deadline, and prepare, submit, and follow each recredentialing application through payer confirmation. Your clinicians keep treating; we keep them in network.

A new location, a changed phone number, an updated pay-to address: small changes that have to reach every payer, correctly, or claims and directories drift out of sync. We submit demographic updates across your contracted payers through each plan's required channel and confirm that every change actually took effect.