As the healthcare industry continues to modernize and more processes become automated, important data has become decentralized. We use more software solutions today than ever before and getting those tools to communicate can be a major challenge.
When we get into the specifics of software integrations, things can get confusing. What’s best for my organization? How will this affect my team? Will this disrupt our current workflow? Of course, improving workflow efficiency is always at the top of everyone’s list, but can feel like it is easier said than done. That doesn’t have to be the case! Different types of integrations can serve your organization in different ways. Let’s take a look at these two popular and secure integration methods and see how each can impact the work you do every day.
The most frequently used integration method is through a secure file transfer protocol, or SFTP. This method requires a flat-file that is updated manually, encoded, then transmitted through a secure channel between two platforms. These types of integrations are ideal when providing things like SSNs, addresses, login information, or any data you would want to protect. When sharing sensitive employee data with a vendor, you likely use the SFTP protocol.
The two main issues with the SFTP integration method are that it introduces the possibility for human error and can potentially allow crucial issues to perpetuate within the systems and it does not not function in real time. As soon as the file is submitted, it could theoretically be outdated. In other words, you can only work with the data that is in the file. A new file would need to be submitted every time it needs to be edited. Not to mention the time and effort it takes to manually validate the file on an ongoing basis.
APIs (Application Programming Interfaces) act as the glue that allows our systems to interact with each other. This integration method allows secure and real-time data transfer between two or more unrelated systems providing the most up-to-date results. If you have ever been frustrated with constantly logging in to different tools to pull data or wonder why there are data discrepancies between tools, an API can solve those problems.
So, what does this mean for our folks responsible for compliance and provider eligibility?
With an API, historically isolated solutions like HRIS systems, ATSs, EMRs, and contract management tools can interact easily and effectively.
Something we are excited about here at ProviderTrust is how our partners – both payers and providers – can utilize our new open API to monitor their employees, physician populations, and provider networks by offering direct access to exclusion data and primary source verifications in their software tools they use every day. Our API connects organizations to ProviderTrust’s best-in-class enriched data and automated primary source verification platform, providing instant and verified results!
Healthcare organizations using our API can now:
- Perform instant verifications: At enrollment or at the time of claim submission
- Receive ongoing monitoring alerts: For your physician populations and provider network
- Schedule your primary source verifications: No longer just at credentialing, schedule them as needed
The ProviderTrust API has the ability to connect with your HRIS, EMR, ATS, and contract management tool, delivering verified results in real time exactly where you need them.