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.
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
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
Render the right-fit solution to manage provider service requests and auto-load provider and contract information ...
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