PRIME selected by Plan to support their CA SB 137 provider directory validation requirements
PRINCETON, N.J. PRIME is pleased to announce a contract renewal with a National Behavioral Health Plan, one of the nation’s leading providers in behavioral health, medical specialty treatment, and fully integrated managed care. This is the fourth year that the Plan has partnered with PRIME in support of its annual outreach and validation requirements for individuals and provider groups, as well as facilities, to comply with California Senate Bill 137 (CA SB137). CA SB 137 requires commercial insurers and health plans to meet uniform standards and provide timely updates to their provider directories.
Bob Branchini, CTO of PRIME, explains, “CA SB 137 has comprehensive requirements and our provider data validation solutions help California health plans stay compliant while making it easy for practitioners and facilities to perform their updates timely and conveniently.” PRIME’s innovative platform offers healthcare providers and practitioners a simple, convenient way to update their provider data and meet CA SB 137-specific requirements, such as notifying plans and insurers within five business days as to whether a provider is accepting new patients.
About the National Behavioral Health Plan
The National Behavioral Health Plan is a Fortune 500 company and a leader in managing a wide range of complex health spheres, including special populations, pharmacy benefits, and other specialty areas of healthcare. It supports and fosters innovative, technology-driven healthcare solutions while focusing on the personal relationships necessary for achieving a healthy, vibrant life. It serves health plans, managed care organizations, employers, labor unions, governmental and military agencies, and third-party administrators.
PRIME offers innovative healthcare solutions that help health plans improve interoperability with health systems and healthcare providers. PRIME provides a combination of technological innovation, including AI and ML, along with highly trained staff to conduct direct provider outreach resulting in verified provider data with the completeness, timeliness, and quality that enables health plans to achieve their compliance, accuracy, and member experience goals.