Provider Contracting and Servicing

Fast-track contract creation and ensure compliance with regulatory requirements.

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 Provider Contracting and Servicing Process Automation Software - Provider Contracting and Servicing

Provider Contracting and Servicing Process Automation Software


Navigate new care delivery models, complex regulations, and narrowing provider networks by automating your provider contract lifecycle. Adhere to compliance requirements and eliminate the risk of financial penalties. Create and manage value-based contracts with providers, enabling them to deliver transparent and uninterrupted care to members. Fast-track your overall contracting process, from initiation, negotiation, execution, archival, amendments, to renewals.

Provider Contracting and Servicing

Intelligent Contract Creation and Management

  • Automated contract creation process and interview-based contracting capability
  • Intelligent questionnaire to generate contracts using pre-defined templates
  • Parallel editing, bind variables, reusable clauses, and templates to expedite the contract creation process

Provider Credentialing and Case Routing

  • Sequential and organized management of provider credentialing
  • Data and document retrieval from CAQH and other credentialing systems
  • Case auto-routing and pre-configured, intuitive checklists to avoid errors

Comprehensive Communication Management

  • Event-based triggers to distribute timely and relevant communications, including welcome, termination, and denial letters
  • Provider follow-up capabilities in case of exceptions or discrepancies
  • Call log, site notes, and issue tracking
Provider Contracting and Servicing

Document Archival and Accessibility

  • Centralized archival of contract data and documents
  • Role-based user access to centralized contracts’ repository
  • Minimized data entry errors, document misplacement, and overall turnaround times

External Integration and Data Capture

  • Core claims, credentialing, provider networking, and third-party systems integration
  • Data capture from third-party systems using out-of-the-box APIs, allowing for seamless data exchange across systems

Solutions for Healthcare Payers

Medicare Enrollment

Transform your medicare enrollment on mobile to empower your...

Appeals and Grievances

Effectively respond to members' complaints, appeals and...

Provider Contracting

Govern every step of contract lifecycle and accomplish a...

Success Stories

Improved adherence to due dates by 50% - Provider Contracting and Servicing
Improved adherence to due dates by 50%
Leading health plan automates appeals and grievances process to mitigate bottlenecks, expedite resolution time, and...
Enabled branchless and paperless onboarding - Provider Contracting and Servicing
Enabled branchless and paperless onboarding
Health plan, with expertise in government-sponsored healthcare, digitizes member enrollment process to enable remote and...
Reduced provider review and approval time by 40% - Provider Contracting and Servicing
Reduced provider review and approval time by 40%
US-based health plan streamlines provider contracting process to optimize costs, increase efficiency, and ensure data...

Learn More

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