Master Provider Index (MPI)

The solution of having a single source of truth, provides real-time data synchronization and API-first integration to ensure consistency across claims processing, regulatory reporting, and member-facing directories.

One Source

Single Source of Truth. Enterprise-Wide Synchronization. API-First.

ProviderLenz™ functions as the Master Provider Index (MPI) and authoritative single source of truth (SSOT) for all provider data across the healthcare enterprise. By centralizing provider records within ProviderLenz™, health plans and healthcare organizations ensure that every internal and external system operates from the same continuously updated provider information.

Rather than relying on fragmented databases or manual reconciliation, ProviderLenz™ actively disseminates curated provider data across the enterprise—reducing errors, improving operational alignment, and lowering IT complexity.

Distribution

Enterprise-Wide Provider Data Distribution

All updates are driven from a single authoritative source, ensuring consistency across operational, regulatory, and member-facing use cases. ProviderLenz™ continuously publishes validated provider data to:

Internal Core Systems

Including claims administration (Facets, QNXT), provider contract management, credentialing, online directories, prior authorization, care management, and analytics platforms

External Entities and Partners

Including CMS (monthly directory files), risk and quality analytics vendors, delegated entities, and state or regional utilities such as the CA Provider Data Utility

Distribution

API-First and Client-Preferred Integration

ProviderLenz™ supports API-based data exchange as well as each client’s preferred integration method, including event-driven updates, scheduled feeds, or file-based outputs in required formats.

This flexibility allows organizations to modernize provider data distribution without re-architecting downstream systems—while still ensuring all platforms receive timely, accurate, and consistent updates.

Unison

Real-Time Alignment Across Lines of Business

As provider data changes—new contracts, location updates, affiliation changes, terminations, or credential updates—ProviderLenz automatically propagates validated updates across all connected systems.

This ensures:

- Claims adjudication aligns with current provider status
- Member-facing directories reflect real-world network participation
- Regulatory submissions and reports remain accurate and defensible
- Commercial, Medicare, Medicaid, and Exchange lines of business stay synchronized

Real-time alignement

Native Integration with Core Claims Platforms

ProviderLenz is natively integrated with Facets® and QNXTTM, enabling seamless provider data synchronization with the most critical and complex payer infrastructure component.

This deep integration supports real-time alignment between provider data, claims processing, and downstream operational workflows—without brittle interfaces or manual intervention.

Direction

Governance, Auditability, and Control

As the enterprise MPI, ProviderLenz provides:

- Full data lineage and audit trails for every provider attribute and distribution event
- Centralized governance over provider data changes and approvals
- Visibility into when, where, and how provider data is consumed across systems

The result is trusted, governed provider data at scale, supporting compliance, operational efficiency, and enterprise confidence.