Digital. Dynamic. Dependable.
Streamline Provider Lifecycle Management to Stay Current, Competitive, and Future-ready
Optimize onboarding and maintenance of providers in your network with our integrated Provider Lifecycle Management Solution, built on NewgenONE—an AI-enabled unified digital transformation platform. Leverage the low-code capabilities and the robust framework for seamless integration with departmental applications. Be expansion-ready in contracting, credentialing, configuration, provider data management, and provider self-service. Customize workflows and data fields to comply with CMS, NCQA, and federal and state regulations while aligning with your organizational needs.
“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
Learn What Newgen’s Provider Lifecycle Management Solution Can Do for You
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
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
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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