Caribou Systems Incorporated - CPro - Provider Data Management System

Caribou developed the CPro Provider Data Management System using advanced technology and function-rich design. It consolidates all provider maintenance into a single, robust provider repository, including demographic, provider relationship, credentialing and network contracting information.

CPro incorporates advanced Web and industry standard relational database technologies to provide easy, secure access to provider data using its convenient provider directories. As a result, you get the portability of the Web with the stability and performance of enterprise systems. Affiliate and remote locations can access provider data via the corporate intranet or the Internet using familiar graphical user interface displays that you can customize. You define the look and feel of the display and the selection criteria.

The CPro maintenance application provides a high degree of business customization without the expense and delay of additional development, allowing you to keep extensive provider information current and easily accessible.

CPro System Features

Maintains extensive demographic information for all types of providers. Identifies the provider, their service and billing locations, and what relationships or affiliations exist between providers.
Collects and stores credentialing information to ensure highly qualified networks of providers.
Manages the grouping of providers into networks while identifying specialty, panel information and reimbursement instructions.
User configurable, Web-based inquiry functions support intranet and Internet inquiries, plus printed provider directories.
Implementation includes a systematic standardization, scrub, consolidation and conversion of existing provider information into the CPro data repository.
CPro can be integrated into claims systems, reporting and other enterprise systems through a complete set of Caribou supplied application programing interfaces (APIs).
Accommodates NPI by managing the many-to-many relationships between legacy identifiers and NPI.

CPro Benefits

Improves provider and member relations through accurate Provider Directories and claim payments.
Provides flexibility to accommodate future change.
Helps avoid NPI and 1099 sanctions.
Eliminates redundant and inconsistent data.

Technical Information

Meets HIPAA National Provider Identifier (NPI) requirements.
J2EE compliant application utilizing relational data base technology.
Runs on any platform that supports Java Runtime Environment, including Windows®, Linux®, UNIX®, AS/400® z/OS®.
Supports ANSI X12 standards.

Need reimbursement functionality too? Check out CProPlus.