Digital. Dynamic. Dependable.
Keeping Provider Contracting Audit-ready with Intelligent Document Management and Version Control
Generate contracts, track negotiations, and govern fee schedules with intelligent document management. Ensure every provider agreement is accurate, compliant, and audit-ready.
“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 NewgenONE Marvin
Leverage GenAI to 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 NewgenONE Marvin
Leverage GenAI to 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
Explore Other Solutions for the Payer-Provider Journey
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
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Frequently Asked Questions related to Provider Contracting
Provider contracts are legally binding agreements between healthcare providers and payers (insurance companies or government programs) that define terms of reimbursement, services offered, compliance requirements, and other obligations.
Newgen’s contracting solution automates contract creation, approval, and compliance tracking. AI-assisted clause recognition and digital workflows ensure contracts are accurate, version-controlled, and aligned with payer policies.
Best practices include centralized contract storage, automated workflows, version control, compliance checks, timely renewals, performance monitoring, and digital approvals.
Newgen uses AI to analyze contract clauses, flag risks, and auto-suggest standardized language. Combined with workflow automation, this reduces bottlenecks, ensures compliance, and speeds up negotiation cycles.
The platform supports embedding and tracking of AI-driven performance metrics and predictive quality models inside contracts, enabling payers to transition from fee-for-service to value-based care.
Automating contract management reduces administrative effort, accelerates renewals, and mitigates compliance risks. Estimate your ROI with the Newgen PLM ROI Calculator.
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