Compliance Resources
Provider Directory Compliance Intelligence
Expert guides for health plan compliance officers navigating the No Surprises Act, CMS Medicare Advantage, NCQA, and Medicaid Managed Care provider directory requirements. Every article is grounded in current regulation and reviewed by the Provatus Compliance Intelligence Team.
No Surprises Act
The Ghost Provider Problem in Insurance: Causes, Costs, and Detection
The ghost provider problem is one of the most pervasive and costly data integrity failures in managed care. Health plans across Medicare Advantage,...
Published April 11, 2026
No Surprises Act
No Surprises Act 90-Day Provider Directory Update: What Health Plans Must Know
The No Surprises Act's provider directory requirements introduced a new layer of federal compliance obligation on top of existing CMS Medicare Advantage and...
Published April 11, 2026