DirSure helps health plans and TPAs meet the No Surprises Act's 90-day provider directory verification rule with automation, evidence logs, and audit-ready updates.
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2 min ago • Auto-flagged for review23 providers need quarterly check
15 min ago • Scheduled for todayEvery 90 days, health plans must verify provider listings or face fines and frustrated members. Wrong addresses, outdated hours, and unreachable providers put compliance teams at risk and patients in harm's way. Manual checks and spreadsheets simply can't keep up.
Health plans face $100 per day per individual affected by directory inaccuracies. With thousands of members, penalties can reach millions annually.
Compliance teams spend hundreds of hours quarterly manually checking thousands of provider listings across multiple data sources and formats.
Regulators demand evidence logs and timestamped documentation. Most plans struggle to provide audit-ready compliance records when investigated.
DirSure automates roster ingestion, quarterly checks, and payer-formatted submissions. AI scans provider sites for changes, flags deltas, and builds audit-ready evidence packs with screenshots and timestamps.
Our AI automatically scans provider websites, registries, and databases to detect changes in hours, locations, availability, and contact information. No more manual checking.
Generate comprehensive evidence logs with screenshots, timestamps, and audit trails. Prove your compliance to regulators with timestamped documentation that stands up to scrutiny.
Upload your provider roster. Let DirSure's verification engine run scheduled checks. Receive clear, formatted update packets ready for submission — backed by an evidence log that protects you during audits.
Choose the plan that fits your compliance needs. All plans include automated verification and evidence logging.
Perfect for small health plans
For growing health plans & TPAs
For large plans & complex networks
The No Surprises Act requires every health plan to verify directories every 90 days, respond to updates within two business days, and maintain accuracy logs. Regulators are cracking down, with penalties up to $100 per day per affected member.
Mandatory 90-day verification cycles with strict penalties for non-compliance and inaccurate directories
Recent settlements like MVP Health Care's $250k fine show regulators are serious about directory accuracy
Inaccurate directories lead to surprise bills, delayed care, and frustrated members who can't find in-network providers
Compliance teams need timestamped evidence logs and documentation to defend against regulatory investigations
We're opening early access to a limited group of health plans and TPAs. Join the waitlist today and get priority onboarding when we launch.
✓ Early access • ✓ Priority support • ✓ Exclusive pricing
Have questions about DirSure? We'd love to hear from you. Send us a message and we'll respond as soon as possible.