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Enclarity's Software to Prepare Healthcare Industry For NPI

On May 23, 2007, the healthcare industry faces a national mandate to adopt one National Provider Identifier (NPI) for each healthcare provider. To help providers comply with NPI requirements and avoid potential problems, Enclarity, Inc. has introduced NPI Enabler software.

NPI is a standard unique health identifier for healthcare providers that replaces the use of legacy provider identification numbers. The 10-digit identifiers, mandated by The Health Insurance Portability and Accountability Act (HIPAA) beginning May 23, 2007, are intended to simplify communication and administration between providers and health plans.

Enclarity NPI Enabler simplifies the complexities of integrating NPI into healthcare organizations' legacy systems. The software brings Enclarity's sophisticated provider matching algorithms information management techniques, including proven data integration methods, to provide the most reliable and dependable NPI crosswalking available in the market today. By leveraging the power of Enclarity's massive Master Provider Data File and its data integrity capabilities, NPI Enabler ensures that its customers will be equipped to meet the regulatory requirements of NPI by:

- Improving provider data integrity in legacy systems by standardizing, de-duplicating and cleaning the data

- Accurately matching provider information to the NPI number by identifying the relationships of the data through proprietary scoring and analytical methods

- Augmenting the records with current data from Enclarity's Master Provider File to capture the complete view of the provider

- Identifying the various relationships between providers, affiliates and other entities (i.e., subgroups)

- Maintaining and updating NPI crosswalks as new provider information comes in and changes occur to existing data to keep the information up-to-date

Inaccurate provider data has long been a problem for health plans, which have tried a variety of approaches to solve the problem, with little success.

Until Enclarity introduced ProviderPoint, the foundation for the company's NPI Enabler software, there was no systematic and automatic way for healthcare payers to establish and maintain accurate provider data. ProviderPoint is the first proven solution to accurately, automatically and systematically cleanse bad provider data - and keep it clean. The software has a proven track record with health plans in finding the 50 to 70 percent of provider data that is inaccurate, and in fixing those errors overnight. ProviderPoint applies advanced analytics and proprietary technology coupled with a massive referential database of more than 30 million records to clean provider files, correcting a half-million providers records per hour.

NPI Enabler and ProviderPoint are offered through a secure, Enclarity-hosted web service (ASP), freeing customers from having to purchase, maintain or upgrade software.



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