Centralized Provider Data for Compliance and Confidence
Automate credentialing, advanced network analysis, and compliance tracking to maintain accuracy and optimize access to care.
Nova’s provider data and credentialing platform centralizes network information, automates verification workflows, and uses machine learning to detect network gaps, optimize coverage, and enhance access for members. The result: a compliant, transparent, and data-driven approach to network management.
Capabilities
How it Works
Nova’s provider data ecosystem automates onboarding and integrates credentialing, verification, and network optimization into one seamless process. Machine learning continuously evaluates coverage, provider relationships, and accessibility to ensure members have timely access to the right care.
Data Intake
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Provider file imports via SFTP or API
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Integration with health plan and IPA systems
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CAQH/NPPES data pulls
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License and credential document uploads
Verification Engine
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Automated credential validation via primary sources
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Board certification and DEA verification
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Hospital privilege and affiliation cross-checks
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OIG exclusion list and disciplinary screening
Network Optimization
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ML-driven gap and saturation detection
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Specialty and geography heatmaps
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Provider-to-member ratio modeling
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Predictive contracting recommendations
Reporting & Audit Readiness
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Delegation audit summary generation
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Provider roster validation reports
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Credentialing compliance dashboards
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Renewal and recredentialing status exports
Nova automates administrative credentialing and network analysis; all credentialing approvals remain under authorized committees or licensed professionals.
Benefits
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Eliminate manual credentialing bottlenecks
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Maintain accurate and current provider records
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Strengthen delegation and audit readiness
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Optimize network adequacy and provider access
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Improve patient experience through intelligent provider matching