HealthLink Dimensions Enrich Solution
Network Directory Validation
Eliminate Ghost Networks. Ensure Accuracy & Compliance.
HealthLink Dimensions helps payers and healthcare organizations validate and maintain accurate provider directories using direct source feedback, AI-driven automation, and daily data updates, mitigating compliance risk and improving member satisfaction.
Make Your Directory Accurate, Actionable, and Audit-Ready
Provider directories are not just a resource; they are a promise to members and regulators. When directories are inaccurate, it leads to member frustration, audit risk, and reputational damage. Up to 2.5 percent of provider data changes each month, which means over 20 percent of a typical directory can become outdated in a year. Most organizations do not have the resources to manage that level of change.
HealthLink’s Network Directory Validation offers a fully managed validation solution. We compare your directory against our national provider dataset, sourced from over 500 public and private channels and validated through artificial intelligence, live outreach, licensing boards, claims data, and real-world engagement. Our process includes AI-assisted monitoring, direct provider feedback loops, and continuous change tracking to ensure your data reflects what is true today.
This solution supports validation across medical, dental, and behavioral health networks, and integrates seamlessly with your existing directory systems and processes. Whether you need a full-network audit or targeted regional review, we help you maintain a directory that is current, compliant, and defensible.
Address Ghost Networks with Verified Insight
Ghost networks—directories that list providers who are no longer practicing, no longer accepting patients, or unreachable—are increasingly under scrutiny from both regulators and the media. These records inflate perceived network size and frustrate members trying to access care.
HealthLink helps payers systematically identify and remove ghost providers by validating provider status through multiple signals:
- Claims activity and clinical engagement
- Direct-source verification
- Email and phone validation
- Live research and outreach
Our process ensures that your directory reflects real, reachable, practicing clinicians—not outdated listings that create liability and member dissatisfaction.
Ghost network mitigation is built into every validation file we deliver, so you can quickly suppress or update listings that no longer belong.
What's Included
Master File Matching
Match your directory against HealthLink’s national provider database, including NPIs, contact details, specialty, and affiliations.
Real-Time Validation Signals
Validate provider information using licensure boards, claims, affiliations, and our live Provider Research Center.
Update Recommendations
Receive a structured return file with flagged discrepancies and suggested corrections for easy implementation.
Audit Support and Documentation
Get audit-ready change tracking, including timestamps, source attribution, and validation history.
Optional Ongoing Monitoring
Choose recurring monthly or quarterly updates to maintain compliance and accuracy over time.
Turn Your Directory Into a Strategic Asset
- Help members find active, in-network providers faster and with fewer complaints.
- Ensure you can document and defend your validation process during internal reviews or regulatory audits.
- Remove unreachable or inactive providers from your listings to build trust and transparency.
- Reduce manual cleanup with automated processes and structured, actionable reporting.
FAQs
Can we use this for just a portion of our network?
Yes. We can validate your entire directory or target specific geographies, specialties, or markets.
How frequently is data updated?
We deliver daily update files based on direct provider feedback and AI-monitored changes. No more waiting for quarterly refreshes.
Is this solution audit-ready?
Yes. Our data change history is fully trackable, with direct-source attribution, making it ideal for internal reviews and external audits.
How is this different from Match & Cleanse?
Match & Cleanse is designed for internal data hygiene. Network Directory Validation ensures external directories reflect active, accurate, and compliant information used by members and regulators.
