Putting Insurances Accepted Data to Work
Leading solution innovators have used Defacto’s Insurances Accepted data set since 2021 to support use cases for patients, providers, payers, and life science companies.
In-network provider search & health plan shopping
Knowing which providers accept which plans helps patients make better selection decisions on both providers and health plans.
Provider network analysis
Payers now have unprecedented access to market intelligence on other payers' networks. Insights can be used to better position health plans in competitive markets.
Provider referrals
Providers can use payer network data to ensure that patients are only referred to providers who accept their plan, avoiding out-of-network bills.
We needed to understand the network composition of the three largest payers within a single market to produce program integrity insights for a client. Defacto produced the dataset within a few business days, and the data was ready-to-analyze.
Yubin Park, Chief Technology Officer
Falcon Health
Defacto Health’s network data has supercharged our ability to assess payers’ clinical data sources and their operations. By knowing the composition of their provider networks, we are able to help payers quickly uncover new clinical data sources at scale.
Michael Klotz, Founder & CEO
Velox Health Metadata
Defacto’s data set and their insights on payer network composition have played an important role in our solutions to digital health, payers, and life sciences clients.
Leading Provider Data Platform
Defacto has been a great partner, delivering public use files in an organized and structured format that allows clients to efficiently use the data.
Chief Network Solutions Officer
Leading Network Analytics Platform