Stay Current. Stay Compliant. Stay Connected with Payers.
Accurate provider demographic information is essential for smooth billing, payer communication, credentialing, and patient referrals. Whether you’re changing your practice address, phone number, tax ID, or group affiliation, payers require timely updates to maintain provider network status and payment accuracy.
At Pristinesolutions, we specialize in Provider Demographic Updates to ensure your information is consistently correct across all insurance panels, government agencies, clearinghouses, and directories—so your claims get paid, your referrals stay strong, and your compliance remains intact.
Why Demographic Updates Are Critical
Outdated or inconsistent provider information can lead to:
- Claim denials and payment delays
- Credentialing and revalidation issues
- Incorrect provider directory listings
- Loss of in-network status or termination
- Patient confusion and access barriers
What We Offer
Change Notifications
to Payers
We promptly submit updates to commercial insurance carriers, Medicare, Medicaid, and other third-party payers—ensuring alignment across the board.
CAQH
Profile Updates
We revise and reattest your CAQH profile with current information to maintain credentialing continuity and avoid rejections.
NPPES
(NPI Registry) Changes
We update your NPI registry information to reflect current practice locations, contact info, or organization details.
Medicare
PECOS Updates
For Medicare-enrolled providers, we update PECOS profiles with accurate reassignment, business, or correspondence details.
Directory Accuracy
Across Platforms
We help maintain accurate listings on payer directories, clearinghouses, state portals, and provider search engines.
Compliance-Focused
Documentation
All updates are processed with appropriate documentation (e.g., W-9, license copies, LOAs) and tracked until payer confirmation is received.
Types of Changes We Handle
We provide credentialing services for a wide range of healthcare professionals and organizations, including:
- Practice location address changes
- New tax ID or legal entity updates
- Phone, fax, or email changes
- New practice affiliations or group linkages
- Banking and EFT information changes
- Name changes (personal or practice)
- Addition or removal of providers from groups
Why Choose Pristonsolutions
Timely
Submissions
Avoid network disruptions and claim holds due to outdated data.
Full
Transparency
We track and report each update’s submission and confirmation status.
Expert
Knowledge
We understand the nuances of Medicare, Medicaid, and commercial payers.
Reduced
Risk
Accurate data prevents denials, billing confusion, and compliance violations.
End-to-End
Support
We don’t just notify payers—we manage confirmations and clean-up.
Trusted Partners
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