Newgensoft Logo
Contact Us
66% Reduction in the Creation of Total Templates     |     84% Reduction in Turnaround Time     |     90% Reduction in Manual Tasks    |    ROI in 6 Months     |     60% Reduction in the Need for Newer pricing templates     |     98% Reduction in Claims Due to Accurate Provider Data     |     66% Reduction in the Creation of Total Templates     |     84% Reduction in Turnaround Time     |     90% Reduction in Manual Tasks    |    ROI in 6 Months     |     60% Reduction in the Need for Newer pricing templates     |     98% Reduction in Claims Due to Accurate Provider Data     |     66% Reduction in the Creation of Total Templates     |     84% Reduction in Turnaround Time     |     90% Reduction in Manual Tasks    |    ROI in 6 Months     |     60% Reduction in the Need for Newer pricing templates     |     98% Reduction in Claims Due to Accurate Provider Data     |     66% Reduction in the Creation of Total Templates     |     84% Reduction in Turnaround Time     |     90% Reduction in Manual Tasks    |    ROI in 6 Months     |     60% Reduction in the Need for Newer pricing templates     |     98% Reduction in Claims Due to Accurate Provider Data     |     66% Reduction in the Creation of Total Templates     |     84% Reduction in Turnaround Time     |     90% Reduction in Manual Tasks    |    ROI in 6 Months     |     60% Reduction in the Need for Newer pricing templates     |     98% Reduction in Claims Due to Accurate Provider Data     |     66% Reduction in the Creation of Total Templates     |     84% Reduction in Turnaround Time     |     90% Reduction in Manual Tasks    |    ROI in 6 Months     |     60% Reduction in the Need for Newer pricing templates     |     98% Reduction in Claims Due to Accurate Provider Data     |    

“Newgen’s Provider Contracting Management Solution enabled us to streamline contract creation and approval, reducing turnaround time and mitigating risks by a significant margin. With capabilities of the implemented solution, including dynamic contract summarization and intelligent risk assessment, we enhanced provider collaboration, ensured compliance, and achieved better outcomes for our members.”

– Chief Operations Officer, A Leading Health Plan

Learn What Newgen Health Solutions for Contracting Can Do for You

Template and Clause Generation and Management

Generate and manage standardized contracts with a single click while streamlining large volumes of new contract submissions. Standardize templates and clauses, thereby reducing redundancy and ensuring consistency. Easily redline when criteria are not met and review contracts seamlessly through departmental workflows or leverage value-based contracting functionality for enhanced efficiency

Value-based Contracting

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

Non-standard Contract Workflows and Risk Scoring

Streamline non-standardized contracts with a departmental workflow approval process, enabling efficient review and feedback from all relevant departments while minimizing risks. Enhance this process further by leveraging a built-in risk-scoring algorithm that analyzes complex contracts based on network access, rates, provider history scorecards, quality metrics, provider profiles, and more, ensuring informed decision-making and risk mitigation.

Redlining and Amendment Creation

Redline contracts seamlessly, reducing the manual effort of downloading and modifying paper copies or relying on external systems. Effortlessly amend previous contracts using an intuitive redlining UI, with amendments progressing through a standardized workflow that adapts to changes, ensuring efficiency and compliance.

Contract and Document Summarization

Summarize contracts with a click of a button, providing document summaries, answering questions, and offering suggestions to optimize and streamline the contracting, credentialing, and configuration process. Save all questions and responses for later reference .

Bulk Contract Creation

Create standardized contracts in bulk to fulfill the needs of large market expansions or repapering activities.

E-signature

Integrate industry-standard e-signature tools to send contracts to providers for review. Allow your providers to accept, reject, or provide feedback. And automatically attach the signed contract to the work case.

Added Capabilities of AI-driven Provider Contracting Management Solution

Contract & Document Summarization with Marvin AI

Summarize contracts with a click of a button, providing document summaries, answering questions, and offering suggestions to optimize and streamline the contracting, credentialing, and configuration process. Save all questions and responses for later viewing

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

Analyze complex contracts using built-in risk scoring algorithm, which includes a combination of network access, Rates, Provider History Scorecard, Quality, Provider Profile, and more.

Value-based Contract Creation Using AI

Provide higher quality care, leading to better health outcomes for your member. Simplify the creation of complex value-based contracts that consider quality, efficiency, error rate, compliance, Stars/HEIDIS, and Financial (RCM)

Contract & Document Summarization with Marvin AI

Summarize contracts with a click of a button, providing document summaries, answering questions, and offering suggestions to optimize and streamline the contracting, credentialing, and configuration process. Save all questions and responses for later viewing

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

Analyze complex contracts using built-in risk scoring algorithm, which includes a combination of network access, Rates, Provider History Scorecard, Quality, Provider Profile, and more.

Value-based Contract Creation Using AI

Provide higher quality care, leading to better health outcomes for your member. Simplify the creation of complex value-based contracts that consider quality, efficiency, error rate, compliance, Stars/HEIDIS, and Financial (RCM)

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
Explore Other Solutions for the Payer-Provider Journey

Provider Lifecycle Management

Stay current, competitive, and expansion-ready in contracting, credentialing, configuration, provider data management (PDM), and provider self-service.

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.

Request a Demo

Got Questions?

Enter your information, and a Newgen representative will be in touch shortly.

icon-angle icon-bars icon-times