Private Preview

Network Tiers

Four Levels of Excellence

Synora's tiered accreditation system rewards quality with cashless eligibility, preferred patient access, and performance bonuses.

💎
Platinum
90–100
Quality Score
Full cashless eligibility
Priority directory listing
+15% performance bonus
Premium employer plans
Dedicated account manager
18% of network
🥇
Gold
80–89
Quality Score
Full cashless eligibility
Enhanced directory listing
+8% performance bonus
Standard employer plans
Quarterly review calls
34% of network
🥈
Silver
70–79
Quality Score
Partial cashless eligibility
Standard directory listing
Improvement support
Basic employer plans
Semi-annual review
31% of network
🥉
Bronze
60–69
Quality Score
Reimbursement only
Basic directory listing
Improvement program
!90-day improvement plan
!Risk of de-listing
17% of network
Scoring Framework

Six Dimensions of Quality

Each dimension is weighted to reflect its clinical and operational importance. Scores are updated quarterly based on data collected from claims, audits, and patient feedback.

📋
Weight
20%

Licensing Compliance

Valid operating license, current professional registrations, and mandatory insurance certificates — all verified annually with MoH and regional health bureaus.

Assessed by
Document AuditMoH Verification
🩺
Weight
25%

Clinical Quality

Treatment outcome reporting, clinical protocol adherence, adverse event documentation, and infection control standards. Assessed via clinical audits and chart reviews.

Assessed by
Clinical AuditOutcome Data
Weight
20%

Claims Accuracy

Error-free submission rate, correct ICD-10 coding, complete documentation, and timely submission within the 30-day window. Scored per quarter from claims data.

Assessed by
Claims DataCoding Review
Weight
15%

Patient Satisfaction

Post-visit patient feedback collected via SMS survey (5-point scale) and anonymous digital ratings in the Synora member app. Minimum 40 responses required per quarter.

Assessed by
SMS SurveyApp Ratings
🔀
Weight
10%

Referral Management

Appropriate and documented specialist referrals, timely referral letters, and evidence of follow-up care coordination. Assessed from referral claims and discharge records.

Assessed by
Referral ClaimsDocumentation
📄
Weight
10%

Documentation Quality

Completeness, legibility, and timeliness of medical records, discharge summaries, operative notes, and clinical correspondence. Assessed during scheduled record audits.

Assessed by
Record AuditCompleteness Check
Sample Scorecard

What Your Quality Report Looks Like

Every provider receives a quarterly quality scorecard through the portal with scores, benchmarks, and personalized improvement recommendations.

Current score vs. tier threshold
Score trend over 4 quarters
Comparison to peer benchmark
Improvement action items
Projected tier for next quarter
View My Scorecard
Quality Scorecard · Q1 2025
Bethzatha General★ Gold
Overall Score
91/100
↑ +4 from Q4 2024
91%
Licensing
98
Clinical Quality
87
Claims Accuracy
94
Patient Satisfaction
82
Referrals
89
Documentation
91
Next Tier: Platinum (90+)
Improve patient satisfaction by 8 points to qualify for Platinum in Q2 2025.
Get Started

Ready to Join and Build Your Quality Score?

Apply to the Synora Health Network and start building your quality profile from day one.

Apply to Join Network Provider Portal Login