AI-first Provider Contracting Management Solution

Digital. Dynamic. Dependable.

Leverage our Provider Contracting Solution, built on an AI-enabled digital transformation platform, NewgenONE, to simplify your end-to-end process—from single case agreements to contracts and amendments to value-based contracts—ensuring a robust network that drives optimal care outcomes. Standardize templates and the latest value-based contracting requirements. Enable authors to redline and optimize contracts while ensuring verification by key departments and personnel. Utilize AI-driven features to ensure contracts are understood and comply with the predefined standards.

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“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

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

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.