The problem

Directory inaccuracy is a compliance risk and a member-experience failure.

Provider data changes constantly across a large network, and stale directories drive No Surprises Act exposure, ghost-network complaints, and members steered to the wrong (or most expensive) option. Keeping it accurate by hand doesn’t scale.

Of network providers whose data must stay correct across every plan and product.

Continuous reconciliation instead of periodic, manual directory audits.

Confidence to certify your directory is up to date at any moment, with an audit trail.

How DexCare helps

Manage the network correctly, then put the directory to work.

PDM+ for large networks

Ingest and reconcile provider, location, credential, and network-participation data from every source into one continuously-maintained golden record, so the directory reflects reality, not last quarter’s spreadsheet.

An attestable directory

Know your directory is accurate at all times, with the lineage and audit trail to confidently attest to regulators and meet No Surprises Act requirements, without a fire drill every review cycle.

Nudge to lowest-cost, best-fit care

Highlight and rank in-network options by cost, quality, and availability, nudging members toward the highest-value choice, which is better for the member and the plan alike.

Capacity-aware steerage

Go beyond a static list: guide members to providers who are actually accepting new patients and have open availability, so a recommendation turns into a real, booked visit.

Why it matters

Lower cost of care. Higher member trust. Less compliance risk.

An accurate, intelligent directory is one of the highest-leverage assets a plan has: it protects you on compliance and actively bends the cost curve.

  • Reduce total cost of care by steering members to high-value, in-network providers.
  • Cut ghost-network complaints and directory-accuracy penalties.
  • Attest with confidence, because accuracy is continuous, not a point-in-time scramble.
  • Improve member satisfaction by making the right choice the easy choice.