Accuracy API Developer Guide

The QES Accuracy API Developer Guide explains how to programmatically determine what’s right, wrong, and missing from your provider data, based on the latest information for providers obtained through multi-channel quarterly outreach and attestation services. For example, using the API you can: 

• Identify and address high-risk challenges, such as invalid NPIs, OIG exclusions, and excessive specialties or addresses. 

• Identify providers that will most impact the adequacy and health of your network. 

• Identify the most critical errors by location. 

Maintaining the accuracy of your provider directory with the highest fidelity information possible ensures your network’s integrity, reduces regulatory risk, improves network performance, and maximizes member satisfaction.