Prescriber Data You Can Depend On

Did you know that an average of 1.175 million modifications are made to our HCIdea® prescriber data information each month?(1)

That’s a lot of change, and a significant number of these changes cannot be found in the NPPES file or captured in your own claims database. Not having these changes often leads to inaccurate data on claims that are either denied or falsely paid. Organizations waste millions of dollars and countless hours every month trying to reconcile claims data. Why not get it right the first time with NCPDP’s HCIdea prescriber data file?

Whether your organization is a pharmacy benefit manager (PBM), health plan, claims processor, or an emerging healthcare IT vendor, HCIdea can help you improve the efficiency and accuracy of claims processing and reimbursement. With the industry’s most complete and accurate data on 2.5+ million prescribers, HCIdea helps you get it right the first time.

Used by the Centers for Medicare and Medicaid (CMS), HCIdea gives you the confidence that you are building your reimbursement processes on the industry’s most dependable prescriber data set – HCIdea.

(1) NCPDP Data Integrity Team

How Does HCIdea Work?
By leveraging more than 2,100+ different data sources and patented autoverification technology, HCIdea delivers a flat file of 2.5+M Type I (individual) and Type II* (practicing locations) prescribers and profiles that can be easily integrated into any system or process. Plus, all prescribers are linked by their unique HCID so you can track and associate prescribers across multiple locations and states.
Most Trusted Source
As a not-for-profit, standards-setting organization, NCPDP designs and delivers its HCIdea prescriber data solution with one thing in mind – helping its member organizations be more successful. The proceeds from your purchase of HCIdea go directly into the great work NCPDP is doing to help advance the healthcare industry.
Better Business Results
Better data translates to better business. HCIdea® is the industry’s most accurate and complete prescriber data source that helps organizations improve operational efficiencies, reduce risks associated with processing inaccurate claims and generate more predictable revenue so you can grow your business with confidence.
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Learn how HCIdea can help you grow your business with confidence by:

  • Reducing your risk associated with unknowingly processing inaccurate claims.
  • Leveraging the same prescriber data used by CMS.
  • Ensuring consistent data accuracy with up-to-date and complete prescriber data.
  • Improving your operational efficiencies by reducing manual work associated with resolving claims issues.
  • Generating more predictable revenue that won’t get recouped through even the toughest audits.

* AutoVerifi™ is a patented Medversant technology
(US Patent Numbers 7,529,682 and 8,131,558)