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Provider Data Management (PDM) was once a small-scale administrative function but has now become a foundational part of healthcare operations, influencing everything from claims processing and member experience to compliance, quality scores, and patient outcomes. As site provider networks expand, affiliations multiply and care delivery grows more complex, the systems responsible for managing provider data have struggled to keep pace.

For payers, every hiccup in provider data management (PDM) aggravates an already stressed system. Errors in provider directories or credentialing data lead to provider and member abrasion and denied claims. Operational breakdowns increase administrative costs and workforce attrition. And evolving regulatory requirements, from NCQA standards to the No Surprises Act and Transparency in Coverage rules, raise the stakes even higher.

Provider data management (PDM) has become one of the most critical (and most challenging) administrative functions in healthcare. As provider networks grow more complex and clinicians practice across multiple locations, health systems, and affiliations, maintaining accurate, up-to-date provider data has become increasingly difficult.

The notion of applying a quick fix is something that everyone in health care can relate to. It speaks to problems that are clearly recognized, repeatedly addressed at the surface, but never truly solved.

Dr. Hernandez* is an orthopedist who practices in a small town. She just opened up a small clinic where she works with a nurse and a nurse practitioner to serve the town’s population.

Every industry has its own “why hasn’t anyone solved this yet?” problem—the kind that sounds simple in theory but becomes remarkably complex at scale. Healthcare, unsurprisingly, has more than its share of these challenges.

Healthcare organizations are under growing pressure to onboard providers faster, reduce administrative burden, and maintain compliance across increasingly fragmented systems. In this fireside chat, Nick Helfrich of CertifyOS and Mark Wankier of Select Health explore why traditional credentialing models no longer scale — and how shared approaches to provider data and credentialing can unlock meaningful operational gains.

Across healthcare, administrative burden is one of the biggest barriers to progress. Providers want to spend more time caring for patients and less time navigating paperwork. Hospital systems are under pressure to streamline workflows, control costs, and improve access and experience. Health plans, which finance much of patient care and connect providers, systems, members, and regulators, face growing operational demands of their own.