Eliminate “Ghost” Networks & Elevate Member Experience

Accurate and compliant provider data in real-time with Polus™ HCP.

Datagence leverages patent-pending technology, a private proprietary AI, and decades of expertise to effectively automate ingestion, validation, enrichment and standardization of provider data.

Polus HCP is all you need to eliminate manual cleanup, ghost networks, and compliance risk.

 

Doctor greeting a smiling mother and child during a clinic visit, representing trust, access, and reliable provider information.
Dave Muehling - Datagence Chief Technology Officer
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The ephemeral nature of healthcare provider data isn’t the problem, it’s the reality. We’re not fixing the old model; we’re redefining it for a world that learns and adapts in real time.

Dave Muehling
Chief Technology Officer

Polus™ HCP: A Unified, Compliant Source of Truth for Provider Data

Healthcare organizations face an escalating provider data crisis—fragmented files, inconsistent formats, missing identifiers, duplicate records, incorrect practice locations, and constant regulatory pressure. With CMS tightening verification mandates and states intensifying enforcement, manual processes and static ETL pipelines can no longer keep up.

Polus Data Trust Fabric.

At the core of the Datagence solution is its data trust fabric and a powerful ingestion engine. It executes your data reliability requirements with a proven process and set of applications using AI and cutting-edge technology, ensuring you never worry about ghost networks.

Polus HCP automatically validates every provider attribute, enforces 48-hour and 90-day update rules, and maintains full evidence logs. This keeps directories CMS-, NSA-, and NCQA-compliant without manual effort.

Automated ingestion, normalization, and deduplication replace manual cleanup and file handling. Polus HCP reduces provider data workload by up to 80% and eliminates repetitive reconciliation tasks.

By resolving identities, correcting affiliations, and aligning provider data across systems, Polus prevents claim mismatches and out-of-network errors that trigger denials and lost revenue.

Validate every record for accuracy and authenticity

Enrich with missing data from multiple sources, adhering to pre-set rules

Standardize data against ISO 8000 specifications, ANSI, or other established industry standards

Dedupe records to remove errors and inconsistencies to ensure clean data in your systems

Automated Multi-Source Ingestion

Digital healthcare icons flowing through streams of data, representing automated ingestion of provider information from multiple sources.
Our automated engine utilizes AI to accelerate the process of ingesting nearly any data source:
  • CSV / XLS / XLSX
  • PDF / MS Word / Email
  • EHR / EMR Exports
Outcome: Data is entered into the system with minimal human intervention, nearly eliminating the manual work required to process provider data.

Standardization and Normalization

Laptop with digital icons representing medical records, a heart symbol, and an insurance checkmark, symbolizing automated standardization and normalization of provider data.
Our AI engine automatically detects and corrects inconsistencies across your provider data in real time:
  • Formatting differences
  • Address variations
  • Taxonomy mismatches
Outcome: Names, locations, phone numbers, and provider attributes adhere to authoritative standards—reducing claim errors, mismatches, and member abrasion.

Validation Against Trusted Sources

Digital provider profiles with checkmarks appearing above a clinician typing on a laptop, representing automated validation of provider data.
Every provider, practice, and location is cross-checked against multiple sources including:
  • NPI / NPPES
  • CMS reference data
  • Datagence proprietary data fabric
Outcome: Each record is confirmed for legitimacy, completeness, and correctness—supporting CMS 116 and NSA requirements.

Enrichment and Contextual Mapping

Hands typing on a laptop with floating digital documents and checkmark icons, representing enrichment and contextual mapping of provider data.
Missing or incomplete data is automatically filled through authoritative lookups and cross-source reconciliation:
  • Specialties & subspecialties
  • Practice-to-location relationships
  • Patient acceptance status

Outcome: A complete, member-ready provider profile with accurate practice and facility relationships—eliminating ghost network exposure.

Identity Resolution and Deduplication

Digital broom sweeping through streams of glowing data, symbolizing identity resolution and removal of duplicate or conflicting provider records.
Using patent-pending consensus scoring and entity matching, Polus resolves complex provider relationships and removes duplicates:
  • Provider-to-practice connections
  • Practice-to-location relationships
  • Duplicate record identification
Outcome: A clean, unified provider graph suitable for directories, claims, credentialing, and analytics.

Compliance Automation and Logging

Hands using a digital tablet with floating compliance and analytics icons, representing automated regulatory monitoring and verification processes.
Every change made to provider records is automatically tracked with detailed timestamps and supporting evidence. Automated checks monitor:
  • 48-hour NSA updates & 90-day attestations
  • NCQA directory expectations
  • CMS data accuracy rules
Outcome: Continuous compliance, defensible audit trails, and documented verification workflows.

FHIR-Ready Publishing and API Delivery

Hand extended beneath digital arrows and data pathways, symbolizing the structured delivery of provider data through APIs and FHIR-ready formats.
Once validated, your clean provider data is accurately and seamlessly delivered to your downstream systems in multiple formats:
  • JSON / machine-readable exports

  • FHIR Directory APIs (CMS IFR aligned
  • SFTP / pipelines into Facets, QNXT, Snowflake, etc.
Outcome: A fully compliant, future-ready provider directory infrastructure aligned to national interoperability requirements

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No ghost networks. Better member experience.