Unified Provider Database

Data management system

In the past, management of provider data has been challenging. Touchpoints with providers often focus on receiving updated licensure, insurance information and other critical details that impact claim decisions.

illumifin’s Unified Provider Database (UPD) directly addresses these problems, based on deep provider relationships and the latest technology. Providers can update their information through ProviderHub to complete their profile and attach other important documentation that is often required for claim eligibility decisions. In addition to benefitting providers, the UPD allows claims professionals to greatly reduce the work involved in collecting and confirming valuable provider data.

Everything you need in one place

Claims professionals can quickly locate providers which meet the specific needs for each policyholder while also confirming key details that may be required to align with policy language.

Expansive listings

The UPD contains detailed information for more than 150,000 senior care providers including home care, assisted living communities, skilled nursing facilities, memory care, hospice agencies, adult day care facilities and continuing care retirement communities.

Abundant data

Each credentialed provider profile in the UPD contains more than 85 structured data attributes including the services provided and scope of medication administration. Insurers can also download provider licenses, W-9s, and professional liability insurance certificates.

Current information

illumifin has a dedicated team in place to continuously update and validate the provider database, ensuring the platform contains current and valid information.