Smart PLM (Provider Lifecycle Management)

The New Vision Smart Provider Lifecycle Management (PLM) solution manages four entities involved in the healthcare end-to-end lifecycle: the individual or organization, address, linkage, and network and reimbursement. Let our solution assist you with:

• Provider onboarding
• Provider servicing
• Provider termination

Our key features in provider onboarding include:

• Provider onboarding through a self-service portal
• AI-powered document analyzer for smooth and faster credentialing
• NPPES integration to pre-populate available provider information
• Document data extractor through OCR to help pre-populate onboarding information
• Melissa integration to help with:
  • Personate verification (US/CAN)
  • Global address verification
  • Global phone verification
  • Global email verification
• Custom contract design (by LOB/category/plan)
• Custom rate card design
• DocuSign integration for e-signing
• Contract negotiations
• API-based modular component for smooth and easier integration with any third-party systems

Our servicing component manages the following areas and functionalities:

• Demographic change
  • Provider name update
  • Contact add/update/terminate/reinstate
  • Address add/update/terminate/reinstate
  • Add/terminate/reinstate specialty
  • Add/terminate associations
  • Add/update/terminate/reinstate a network
  • Add/update/terminate/reinstate a reimbursement
  • Amend contract
  • Re-credential
  • Accept patient
  • Provider hierarchy design
  • Provider termination

• A self-service chatbot that uses conversational flows with Pega
• Customer service that helps providers raise demographic change requests through IVR
• Downstream integration with CAQH and NPDB that syncs with provider updates
• Customer and configurable SLAs that define end-to-end process completion targets
• Configurable approval process for updating demographic changes
• Provider directory at your fingertips with the 360-degree provider dashboard
• Robotics process to help processing complex roster files (in phase 2.0 release)