1. What It Is
PPI’s Provider Management module, part of the Care Compass platform, enables organizations to take full control of their provider relationships. Whether it’s credentialing, contracts, payments, or documentation, everything is centralized, organized, and integrated in one place. With real-time access through a provider portal, teams can spend less time chasing information and more time making decisions that matter.
2. What It Does
✅ Easy Access Through the Provider Portal
Give providers a secure, real-time window into their data—claims, authorizations, eligibility, and more. Admins can manage user access, set permissions, and view complete usage history.
🔄 Built-In Integration with UM and Call Centers
The module ties directly into utilization management workflows and call center data, giving your team a complete picture of provider communications and service interactions.
💼 Smarter Contract & Payment Management
- Assign contracts by location and line of business (LOB)
- Set up ACH routing, flag interest payments, and manage fee-for-service logic
- Handle multiple address types, including custom payment addresses
🧾 Credentialing That Fits Your Needs
Create and tailor credentialing scripts with logic that aligns with your unique processes. And if you’re working in New York, the system’s fully compliant with state-specific documentation rules.
📎 Document Handling Without the Hassle
Attach scanned documents directly to a provider profile or specific location so you’re never hunting through email chains or shared drives again.
🔍 Built-In Provider Search Tool
Members can easily search their network to find the providers that best meet their needs, making provider selection faster and more informed.
3. Why It Matters
What You Get and Why It’s Valuable
Real-time access – Fewer delays, more transparency
Centralized data – Everything in one place
Custom tools – Built around your workflows, not the other way around
Built-in compliance – Helpful for state-specific regulations
Overall, providing a better experience for both providers and members.
4. The Big Picture
PPI’s Provider Management module brings together everything you need to keep your provider network running smoothly. It’s designed to simplify day-to-day work, reduce friction with providers, and give your teams full visibility into every aspect of provider management. Whether you’re handling credentialing, managing contracts, processing payments, or fielding support calls, this system helps you stay ahead, with less manual work and more peace of mind.
5. Ready to Learn More?
If you want to see how this all works in action—or you’re wondering how it could fit into your organization—check out more at ppi.com or get in touch with the team directly.
