Ribbon Provider Data Platform for Health Plans
Transform provider data quality and infrastructure, lower operational costs, and strengthen member experiences
62% of people don’t trust their health plan for accurate care options. With our AI-powered platform, health plans can ensure up-to-date provider information for improved business workflows and exceptional member experiences.
Solution key benefits
Save significant time and resources on data management
Centralize and streamline provide data workflows
Quickly scale into new markets and manage large volumes of data
Track, assess, and improve data quality at scale
Reduce work tickets and call center volume
Improve member experiences finding care
The Platform
Ribbon Directory
The industry’s most comprehensive and accurate data asset on healthcare providers and facilities, from basics like address and insurance network, to detailed metrics like common procedures, affiliations, cost, quality, and more. Data is constantly compiled and refreshed from thousands of sources, and Ribbon AI models surface the most accurate data.
Partner Data Marketplace
Our growing set of industry data partners, like CareJourney, allows you to easily integrate additional powerful data attributes all on the Ribbon data platform.
Data Integration
Ribbon technology automatically ingests and processes multiple provider data sources into one, standardized database.
Accuracy Scoring
Ribbon AI models assess your provider data accuracy at scale, from 0% to 100%.
Master Data Management
One powerful database to store, maintain, manipulate, and trace changes over time - critical for compliance.
Data Views
Configure data into multiple views and subsets for different use cases, like directory or claims.
The health plan member journey
Without Ribbon
With Ribbon
Leila onboards to a new plan. She visits a new specialist recommended by her primary care provider. Unfortunately, the specialist is not in-network.
Leila onboards to a new plan, and quickly receives a call from an onboarding specialist to help her find in-network, high-quality providers.
She searches her plan’s portal for another nearby specialist. After booking the appointment, she learns the provider has moved locations, and is now an hour away.
She uses her plan’s portal to search for additional care. She’s able to filter on key criteria, and find the right provider-match with up-to-date information.
Leila receives an unexpectedly high bill from the out-of-network visit, and is extremely frustrated. She decides the second specialist is now too far away, and puts off receiving care.
Because Leila received in-network care, her claims are processed easily and without denials or issues.
Technology that unlocks business value for health plans
Case Study
Save significant time and investment in data management
Ribbon’s technology automates and scales data intake process for a leading health plan, achieving ~95% time-savings
Case Study
Improve member
“Find Care” experiences
Case Study
Drive member satisfaction and retention
Ribbon’s national payer-provider customer achieved a 99% post-visit CSAT score by leveraging Ribbon’s data
Why choose Ribbon for your provider data management ?
Flexible, enterprise-ready technology
Ribbon integrates with existing IT, data, and operations systems, and is SOC I & II and HIPAA certified
Expansive provider data assets
Enrich your data with Ribbon’s robust suite of data assets, including 99.9% of providers and facilities in the U.S., 6B+ claims, 1.7M unique service locations, and 85% of lives covered across all LOB
Actionable insights
Understand the quality of provider data at scale with Ribbon Accuracy Scoring, easily identify data gaps, focus manual validation, and filter “bad” data
Growing partner ecosystem
Expand the power of Ribbon with our vibrant partner community, including EHRs, cloud providers (AWS, Databricks), product integrators, and data partners
Dedicated partnership model
Ribbon experts work side-by-side with your team, configuring technology to unique business needs and ensuring solutions drive business impact from day one
Fast implementation and updates
Ribbon enables <48 hour data processing, both to ensure strong member experience and regulatory compliance
Insights & Resources
Guide: A health plan’s guide to provider data management
Consumer Survey Report: How health plans can use data to unlock better care
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