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50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-Submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-Submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-Submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-Submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-Submission Approval Rate     |     25% Higher Provider Satisfaction Score     |     50% Reduction in Credentialing Turnaround Time     |     40% Improvement in Compliance Adherence     |     60% Faster Document Retrieval    |    30% Reduction in Manual Errors     |     35% Increase in First-Submission Approval Rate     |     25% Higher Provider Satisfaction Score     |    

“Implementing Newgen’s Provider Lifecycle Management Solution enabled us to achieve a six-month return on investment, reduce onboarding turnaround time by 84%, gain visibility into our vital provider data, and enhance operational efficiency.”

– Head of Payer Strategy, A Leading Health Plan in the US

Provider Lifecycle Management: Buy All-in-one Pack or Choose an Individual Solution

Provider Data Management

Maintain a well-organized directory of providers within the network for superior member experience and ensure compliance for marketing materials and the “No Suprises Act”

Provider Credentialing

Hyperautomate credentialing verification and pricing process in compliance with NCQA, CMS, and state and federal standards

Provider Contracting

Streamline end-to-end contracting process, from single case agreements to contracts and amendments to value-based contracts—ensuring a robust network that drives optimal care outcomes

Self-service Portal

Empower your providers to submit, update, and view their information on a transparent and innovative portal

AI Driven – Innovative Features of Provider Lifecycle Management

Contract and Document Summarization with Marvin AI

Summarize contracts with the click of a button using Marvin. Optimize and streamline the contracting, credentialing, and configuration process by asking questions and receiving suggestions. All questions and responses are recorded for future reference

Value-based Contracting & Non-Standard Risk Scoring in Contracting with AI

Enable value-based contracting and non-standard risk scoring with AI. Analyze complex contracts using built-in risk scoring algorithms, encompassing a combination of network access, rates, provider history scorecard, quality, provider profile, and more

Chatbot on Provider Portal with Marvin AI

Allow providers to ask questions, get directed to call center, learn more about the provider portal, and chat with a provider relations representative through Marvin AI

Value-based Contract Creation

Create complex value-based contracts that consider quality, efficiency, error rate, compliant, Stars/HEDIS, financial (RCM) and more. Achieve higher quality care and better health outcomes for members

Contract and Document Summarization with Marvin AI

Summarize contracts with the click of a button using Marvin. Optimize and streamline the contracting, credentialing, and configuration process by asking questions and receiving suggestions. All questions and responses are recorded for future reference

Value-based Contracting & Non-Standard Risk Scoring in Contracting with AI

Enable value-based contracting and non-standard risk scoring with AI. Analyze complex contracts using built-in risk scoring algorithms, encompassing a combination of network access, rates, provider history scorecard, quality, provider profile, and more

Chatbot on Provider Portal with Marvin AI

Allow providers to ask questions, get directed to call center, learn more about the provider portal, and chat with a provider relations representative through Marvin AI

Value-based Contract Creation

Create complex value-based contracts that consider quality, efficiency, error rate, compliant, Stars/HEDIS, financial (RCM) and more. Achieve higher quality care and better health outcomes for members

Business Benefits of Provider Lifecycle Management Solution

Minimized Turnaround Time

Run frictionless operations and streamline processes to ensure prompt responses to providers’ needs and regulatory requirements. Reduce manual tasks and eliminate bottlenecks to create smoother workflows, thereby maximizing operational efficiency and minimizing TAT for critical processes

Improved Star Rating and State Incentives

Achieve favorable ratings with three or more stars, encouraging bonus payments as incentives for delivering quality care and enhancing patient satisfaction. Ensure consistency and accuracy in ratings, improving your goodwill and trust among providers

Better HEDIS and NCQA Results

Get financial rewards for exceeding score thresholds in HEDIS metrics and encourage initiatives for better health outcomes. Improve HEDIS metrics to secure better incentives for providers and insurers, promoting smooth collaboration and alignment towards shared objectives. Meet all the required NCQA standards for onboarding and maintaining the provider’s data

Market Scalability

Operate efficiently across states and products through a unified platform to minimize administrative complexities, enhance market scalability. Incorporate multiple product ingredients and apply smart rules to adopt to changing market demands and regulations, facilitating sustained growth through market expansion

Minimized Turnaround Time

Run frictionless operations and streamline processes to ensure prompt responses to providers’ needs and regulatory requirements. Reduce manual tasks and eliminate bottlenecks to create smoother workflows, thereby maximizing operational efficiency and minimizing TAT for critical processes

Improved Star Rating and State Incentives

Achieve favorable ratings with three or more stars, encouraging bonus payments as incentives for delivering quality care and enhancing patient satisfaction. Ensure consistency and accuracy in ratings, improving your goodwill and trust among providers

Better HEDIS and NCQA Results

Get financial rewards for exceeding score thresholds in HEDIS metrics and encourage initiatives for better health outcomes. Improve HEDIS metrics to secure better incentives for providers and insurers, promoting smooth collaboration and alignment towards shared objectives. Meet all the required NCQA standards for onboarding and maintaining the provider’s data

Market Scalability

Operate efficiently across states and products through a unified platform to minimize administrative complexities, enhance market scalability. Incorporate multiple product ingredients and apply smart rules to adopt to changing market demands and regulations, facilitating sustained growth through market expansion

Explore Other Solutions for the Payer-Provider Journey

Provider Disputes Resolution

Enhance your payer-provider interactions by optimizing claim disputes and inquiries.

Claims Automation

Streamline claims with an AI-driven, low-code automation process.

Provider Relations and Complaints

Enhance provider relationships while streamlining communications and driving a collaborative environment.

SIU & FWA Case Management

Detect and address fraud while enhancing efficiency and ensuring compliance.

Find Your Winning Strategy with Newgen

Request a demo to explore our solutions for the Payer-Provider Journey.

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