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DocMeHealth

Optimizing provider data to power smarter operations and experiences.

We specialize in addressing the operational and data challenges behind successful care delivery: provider data accuracy, claims integrity, network management, member access, analytics, and seamless digital experience design. Anchored in high quality provider data, healthcare digital transformation at DocMe360 is about creating connected systems and empowered teams that deliver better health experiences for everyone.

Strategy, advisory, & data

Expert, data-driven guidance for impact.

Implementation & optimization

Structure and operations for delivery.

Custom technology solutions & support

Platforms, integrations, and data ecosystems built for health.

Member & provider experience

Connected journeys for better care.

Strategy, advisory & data

Get clear on where you’re going and what it will take to get there.

We help you make sense of fragmented workflows, legacy data environments, and competing priorities.

Transformation & modernization strategy

Define organization-specific modernization: clarify the “why,” map operational and data reality, and design a balanced future state.

Analytics & automation foundations

Build the data pipelines, quality checks, and reporting foundations for accurate analytics and safe automation at scale.

Digital, data & experience strategy

Identify digital capabilities, including portals, integrations, and automation, that connect member, provider, and staff journeys to the systems and data that power them.

Implementation & optimization

From slide deck to shipped work without burning people out.

We bring structure, momentum, and clarity to major initiatives so they launch on time and deliver real operational improvement.

Program & implementation leadership

Establish governance, align workstreams, and maintain focus on decisions to lead complex, multi-vendor initiatives.

Operational enablement

Optimize cross-team workflows by simplifying handoffs, reducing rework, and layering in automation.

Operating model, governance & value

Define ownership, decision rights, and value measurement for long-term transformation efforts.

Custom technology solutions & support

Digital platforms, integrations, and data ecosystems built for health.

We design and implement solutions for better data to power accurate provider directories, clean claims, streamlined network onboarding, and efficient operations.

Modernization

Modernize legacy workflows and systems through data migration, redesigned processes, integrated platforms, and automation.

Integration

Design and deliver integrations across the healthcare ecosystem, including support for CAQH, Facets, GuidingCare, Salesforce, V12, Leap Orbit, FHIR servers, and more.

Member & provider experience

Better access. Less friction. Connected journeys that help people navigate care.

We design connected, intuitive experiences that make it easier for patients, members and providers to access, navigate, and engage the care they need.

Applications for the member-patient journey

Design, support, and integrate digital tools that improve access to transportation, nutrition services, and social determinants of health (SDOH) programs.

Engagement & access programs

Implement outreach workflows, including appointment reminders, no-contact messages, and navigation support to reduce manual effort and streamline operations.

Specialized provider data capabilities

Member & provider experience enhancements

Improve provider data accuracy, reduce PCP load errors, and resolve issues quickly to minimize abrasion and elevate overall member and provider satisfaction.

Healthcare data engineering & analytics

Build data marts, optimized SQL pipelines, and analytics solutions that deliver actionable insights across claims, utilization management, and care management.

Healthcare interoperability & FHIR integration

Implement FHIR standards and integrate modern platforms to enable seamless data exchange across claims, membership, and authorization systems.

Facets BPAaS implementation & optimization

Support full-cycle Facets initiatives, from BRD review through go-live, to optimize claims, provider setup, membership, and operational workflows.

Governance & SOP development

Develop scalable SOPs, workflows, and QA frameworks that ensure consistency, compliance, and repeatable operational performance across teams.

Program & project management excellence

Lead complex, multi-vendor programs by driving delivery through RAID management, stakeholder coordination, and milestone execution.

Provider data modernization & migration

Migrate and standardize provider data into modern platforms, enabling accurate directories, clean claims, and reliable network operations.

End-to-end provider data quality management

Establish proactive QA rules, remediation workflows, and issue tracking to ensure downstream systems receive accurate provider data.

Automating data remediation & reporting

Automate QA tools, SQL workflows, and reporting pipelines to reduce manual effort, eliminate errors, and accelerate operational efficiency.

Healthcare claims integrity & payment accuracy

Resolve provider data gaps, streamline remediation efforts, and improve claims adjudication accuracy across complex healthcare environments.

Integrated data ecosystem strategy

Design unified data flows across platforms like V12, Facets, Salesforce, and GuidingCare to support seamless enterprise interoperability.

Digital transformation in healthcare operations

Streamline workflows, automate key processes, and implement cloud-enabled integrations to modernize operations across the ecosystem.

Featured case studies

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