This app allows Payors to specify which brands they operate as and to identify which facilities are in network for each brand (including Medicare and Medicaid programs). To start, click on Upload Files and save a list of all the Payor Brands that are encompassed by . Once the system knows all the brands within , you can save a list of NPIs identifying which SUD facilities are in network for each brand. Simply select one or more brands from the list and upload file that contains the NPIs of all in network SUD facilities. This file must be a .csv and should contain exactly one column.
Why is this App Important?
In our analysis of the data supplied by SUD treatment facilities, Payors were over-reported by an average of 25% and under-reported by up to 13%. This tool allows Payors to correct this data so that users are more likely to locate and select SUD treatment facilities that are in their insurance network, saving insurance companies money and ensuring a better experience for the customer as well.
Need More Help?
Step by step instructions are available here. If you're still having trouble, please send an email to atlas@shatterproof.org.