COE Vendor Evaluation: The Consultant's Scorecard
Rigorous Evaluation Goes Beyond Network Size.
Directory counts can mask thin coverage
Broad national directory counts can hide thin local coverage. Access should be confirmed in your specific ZIP codes, at the individual surgeon level.
Savings should be auditable
Are savings real, auditable, and reflected in actual paid claims, or does the vendor control both the baseline and the math?
Clinical support should be clinical
Is support provided by actual licensed nurses, or by trained call center staff following scripts? That distinction defines whether guidance is medical or administrative.