Provider Sponsored Plans (PSP’s) have unique data sharing needs requiring complete transparency on some items to allow for seamless patient care and complete segregation of others for protections of patient rights’ and legal compliance.
The Venn diagram shows the simplicity of the need, but the issue comes when the lines have to be drawn in data that is commingled throughout various systems.
- Provider Only Data can include self-pay visits and some visits for patients that are not associated with the plan.
- Plan Only Data can include information for members who do not have a relationship with the provider owner or claims covered under a Third Party Administer (TPA) arrangement.
- Shared data includes code sets and other lists of values that don’t inherently provide information on their own.
The drawing is simple, but the implementation can be complex. Wyntec has the services necessary to ensure that all of the data and rules required are implemented seamlessly throughout the organization.