As of Oct. 1, 2022, providers utilize the Provider Network Management (PNM) module to access the MITS Portal. Through this link, providers submit and adjust fee-for-service claims, prior authorization …

Effective October 15, enhanced security functionality has been implemented in the Provider Network Management (PNM) module for the Electronic Funds Transfer (EFT) page. A new EFT Agent sub …

Aug 29, 2025 · Provider Network Management (PNM) is the process healthcare organizations use to build, maintain, and optimize their network of healthcare providers, such as physicians, specialists, …

Sep 28, 2025 · What is provider network management in healthcare? It’s the process of building, maintaining, and overseeing provider networks to ensure members have access to qualified …

We help payers replace siloed data operations with provider lifecycle management to deliver efficient network development and improve provider relationships.

Nov 16, 2023 · In this article, we delve into the complexities of provider network management, exploring the challenges and proposing solutions to streamline these critical processes and provide healthcare …

Transform and modernize your provider network management. Faster identify key insights to align with your provider digital roadmap.

Provider network management systems can be used to consolidate patients’ data including care plans, lab results, authorizations, and medical claims. By consolidating this information, businesses can …

Jan 24, 2025 · Provider Network Management is the process of organizing, maintaining, and overseeing a network of healthcare providers to ensure they deliver high-quality, cost-effective, and compliant care.

Provider network management and targeting improves operational efficiency by anticipating changing market dynamics using provider data and market intelligence.