Healthcare Provider Contract Management and Servicing Software

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

Solutions for Healthcare Payers

Medicare Enrollment

Transform your medicare enrollment on mobile to empower...

Provider Lifecycle Management

Enable faster, accessible, and high-quality service to...

Appeals and Grievances

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

Success Stories