Flags Overview & Benefits
The Flags page is a centralized dashboard that displays all providers requiring attention after monitoring has been completed. This feature streamlines the review process by showing only actionable items that need decisions from your team, helping you maintain compliance with monitoring requirements efficiently.
Key Benefits
Centralized Compliance Monitoring -
The Flags page brings all actionable monitoring results—like sanctions, license expirations, or NPDB actions—into one place, helping users immediately see which practitioners need attention. This supports NCQA’s monthly monitoring expectations and streamlines follow-up
Audit-Ready Traceability -
Every action—whether marking a flag as seen, sending to committee, or terminating a provider—is tracked with attestation and reasons, aligning with NCQA’s growing emphasis on auditability and decision transparency.
Efficient Committee Escalation & Role-Based Review -
Flags can be bulk-sent to Medical Directors for review and resolution, enabling clear delegation pathways and governance, which is critical under NCQA’s requirements for oversight of delegated functions.
Ease of Use Meets Policy Control -
With configurable access, bulk actions, and flexible filtering, it empowers users to stay compliant without being overwhelmed—supporting both operational efficiency and emerging CR/PN policy requirements like CR 1 Element C (delegation oversight) and CR 5 (ongoing monitoring).