Our Data
Practice Affiliations
Derived from claims, price transparency, and additional proprietary provider directory assets, Serif Health has amassed a nationwide provider directory graph detailing the connections between Payer / Practice / Provider. Companies use this to determine in-network status, verify patient eligibility, understand provider credentialing, and much more.
500+
PPOs, HMOs, ASOs, and Exchange Plans
1M+
Practice IDs
4M+
Provider IDs
Reviewed monthly for any updates
Step One
Data Collection
Serif Health aggregates provider directory information from multiple sources including commercial payer networks, hospital systems, and proprietary datasets. This comprehensive approach allows us to map the complex relationships between healthcare payers, practices, and individual providers across 500+ PPOs, HMOs, ASOs, and Exchange Plans.
Our data encompasses over 1 million practice IDs and 4 million provider IDs, creating a detailed network graph that shows how providers are affiliated with practices and which networks they participate in. This information is crucial for understanding provider credentialing, network participation, and patient access patterns.
Step Two
Network Mapping
Our advanced algorithms analyze the relationships between providers, practices, and payers to create accurate affiliation maps. We identify which providers work at which practices, how practices relate to larger health systems, and which networks each provider participates in across different payer contracts.
Step Three
Continuous Updates
Provider affiliations and network participation change frequently. Our data is reviewed monthly to capture new provider relationships, practice acquisitions, network changes, and credentialing updates. This ensures our customers have access to the most current provider directory information available.
The comprehensive mapping enables organizations to determine in-network status, verify patient eligibility, understand provider credentialing requirements, and make informed decisions about network adequacy and provider access.
See what our customers are saying
Serif’s tools have unlocked key pieces of information that have supported how we structure our contracts. They’ve been a helpful partner in understanding price transparency data, and their team has consistently gone above and beyond to quickly source data to assist with our needs.
Serif's reimbursement data has been instrumental in informing which clinical groups are viable for us to work with. After zeroing in on those groups, it has allowed us to shortcut the arduous back and forth of gathering reimbursement pricing data from them, something that is particularly difficult when helping a clinical group expand their service offerings. Being able to show up at an early stage meeting with reimbursement information in hand and in a deck has been a game changer and wins us significant credibility right off the bat.
Using the data from Serif has been incredibly helpful for our payor negotiations. There is no longer a mystery about where you stand in the market.
Signal makes complex MRF data easy to use. Other tools we looked at returned significantly more 'junk' data and clutter that made us do extra work. As a multispecialty provider with several surgery centers, Serif equalizes the knowledge disparity between payers and providers.
Powering healthcare price transparency for over 300 companies – from startups to enterprises.
Sample Data
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