For Payers & Health Plans
Steer members to the right care.
DexCare keeps your network provider directory compliant and turns it into an active tool for guiding members to the best, lowest-cost care.
The problem
From compliance risk to poor member experiences.
Stale directories drive No Surprises Act exposure, ghost-network complaints, and members steered to out-of-network options. Manual upkeep is unsustainable.
Thousands
Of network providers whose data must stay correct across every plan and product.
Always-on
Continuous reconciliation instead of periodic, manual directory audits.
Attestable
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 always reflects reality.
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.
From data to decision
Reconcile continuously verified provider records.
Attest always-current directory with a defensible audit trail.
Rank lowest-cost, best-fit, in-network options.
Steer members to available, high-value care.
Make your directory an asset, not a liability.
See how DexCare keeps your network accurate and steers members to the care that’s best for them, and for the plan.
