Humana's plan to improve provider directory accuracy

Humana says new technology will help it maintain more accurate provider directories. 

The insurer is partnering with Veda, a health technology company. According to a Feb. 26 news release, Veda will use automated technology to analyze, verify and standardize Humana's provider directory data. 

Lawmakers have pressed insurers to improve their provider directories. In October, Sens. Thom Tillis, Ron Wyden and Michael Bennet introduced the Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, which would strengthen requirements for Medicare Advantage plans to maintain accurate directories. 

An April 2023 study in JAMA Health Forum found physician information is often inconsistent across payer directories. The most common source of errors, the study's authors wrote, was group practices reporting all physicians at all locations, regardless of the individual physican's location. 

"We want to be a partner with CMS and policymakers in improving the accuracy of provider directories. This collaboration with Veda will enhance not only the experience for our members, but also our provider community," Robbie Tindall, vice president of provider process network operations at Humana, said in the news release. 

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