Provider Contracting - Modern Provider Contracting

HEALTHCARE

Modern Provider Contracting

Govern every step of contract lifecycle and accomplish a modern provider contracting process that goes beyond being a cost-center to provide business value.

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New care delivery models, complex regulations, and narrowing provider networks significantly alter contracting process. An oversight at any stage of the contract lifecycle can impact the overall quality of member care. We offer you a configurable unified platform to fast track your contracting process, manage the length and breadth of a contract lifecycle. The system creates a centralized repository of contract information and provides business user with role-based access to sensitive contract data and documents. It then orchestrates this information across departments using an advanced workflow engine that automates critical business processes.

Brochure: Newgen Provider Contract Management Solution

Know how you can simplify contracting, expedite paper workflow, and reduce contracting risks

Contract Creation & Archival
Get an automated, self-service environment with minimal contract experience to draft contracts. Guided authoring tools ensure consistency and accuracy, shortening the negotiation cycles and minimizing legal risks

Credentialing Management
Manage the provider credentialing in a sequential and organized manner. Retrieve data and documents from CAQH and other credentialing systems. Auto-route cases and provide pre-configured, intuitive checklist to avoid slip-ups

Communication Management
Get timely and automatic provider communications via event based triggers, including issuance of welcome, termination and denial letters. Follow-up with providers in case of exceptions, discrepancies and maintain a track of the provider’s call logs, sites notes, and other issues

Enterprise Integrations
Get comprehensive capabilities to integrate with Core claims, Credentialing, Provider Networking and other 3rd party systems. Pull data from third-party systems via out-of-the-box APIs, allowing seamless exchange of data across systems. The system allows XML based API, Web service API and Java beans over XML level API integrations with various 3rd party systems

Compliance Management
Create and configure contract, productivity, ageing, inventory, case discard and geo access reports by leveraging the extensive dashboards. Download reports in different formats, such as xls, pdf, and csv, etc. Capture audit trails and maintain notes and decision history to be in compliance with rules and regulations

Better Compliance
Manage compliance proactively through an automated approach that provides a detailed, long-term record for every case. Enable continual monitoring of contract milestones and deadlines

Enhanced Operational Efficiency
Ensure centralized archival of contract data and documents. Digitize processes and eliminate printing, storage, shipping, and other administrative costs

Improved Visibility
Track complete contract cases and manage SLAs in a seamless manner. Monitor the cases at all level by maintaining audit history. Leverage comprehensive dashboards for report generation

Reduced Turn-around times
Reduce manual handoffs and data entry errors. Avoid misplacement of documents to a higher extent, thereby boosting employees’ productivity and reducing turn around times by a significant margin

CASE STUDY

Provider Contracting -  Streamlined Provider Contracting with Newgen Solution

Streamlined Provider Contracting with Newgen Solution

Read how the client leveraged our solution to simplify its contracting process and enhanced provider onboarding experience

REINVENT PROVIDER CONTRACTING

Provider Contract & Network Manager Solution

Know how you can leverage our configurable unified platform and simplify your provider contracting process