Provider Data Management

Streamline provider data and credentialing operations - including filling insurance applications - for DSOs and Group Practices, with full compliance to NCQA and payor requirements

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Centralized Provider & Office Data Management 
Centralize provider and office data with tools to manage complex location, network, and association relationships
Automated Insurance Applications
Auto-fill payor applications using AI to complete and submit forms with the correct supporting documents
AI Powered Credentialing & Recredentialing
Streamline credentialing and recredentialing with automated primary source verification, sanctions monitoring, and license validation

Onboard your providers on the payor network in days instead of months

$50K - $100K
Incremental revenue per provider
80%
Reduction in credentialing time
50%
Reduction in manual error
Self-Service
Provider Portal

Enable provider self-service with a portal that enables data and document collection while reducing staff burden

CAQH
API

Retrieve data from CAQH via real-time API integration to accelerate onboarding

Workflow Automation & Configurable Queues

Automate workflows and queueing using centralized tools for communications, documents, and case handling

Reporting & Compliance

Stay audit-ready with real-time access to compliance reporting across credentialing, rosters, and directories

Trusted by clients

“LightSpun was able to seamlessly integrate their platform with our existing systems and was able to deploy the entire platform within months due to the teams in-depth domain knowledge in technology, AI and dental”
Insurance Payer
VP, Information Technology
“Using LightSpun’s Contact Center module, we expect to save $2M annually in call center operations, achieving a 64% cost savings.”
Large BCBS Plan
Director of Operations
“Using LightSpun’s Contact Center Automation module, we expect to save $2M annually in call center operations, achieving a 64% cost savings.”
Large BCBS Plan
Director of Operations
“Our very manual, time-consuming and error-prone processes needed the injection of technology designed by those who have walked more than a mile in our shoes. We have been able to reduce 50% of FTEs!”
Blue Cross Blue Shield
Dental Director
“Using LightSpun’s Claim Intake Automation module, we will reduce manual intervention on paper claims by 95%.”
Insurance Payor
President
“Our claims administration cost was reduced by 50% thanks to LightSpun’s Claims Administration & Adjudication Platform.”
Insurance Payor
CEO
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