symplr Payer
Save on costs, eliminate data silos, and deliver better outcomes for your members with a unified, automated provider data solution. symplr Payer provides a single source of truth for provider data that is consistently reconciled and validated against primary sources. It improves data quality, access, and transparency. Further, it eliminates duplicate requests for information, reducing provider frustration. Using symplr Payer as the enterprise-wide hub for provider data, payers can feed timely, accurate information to other downstream systems. Our highly configurable, end-to-end provider data management solution manages all pre-contract and renewal contract negotiations. Standardize and streamline your contracting processes, while capturing contract details such as sentinel events, trigger dates, configuration efforts, process steps, fee schedule info, and more. symplr Payer’s unique design allows your organization to consolidate contracting and credentialing.
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ConvergePoint Contract Management
ConvergePoint Contract Management: Manage full contract management lifecycle on Microsoft 365 SharePoint. Contract Requests, Authoring, 3rd party paper or own templates, Clause libraries, AI, Review/Approve with advanced workflows, contract negotiations and eSignature. Central repository for signed contracts. Renewals/Expirations/Obligations. Advanced search/reporting tools. Multiple integrations.
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Arrow
Arrow is a healthcare revenue cycle management platform that modernizes and streamlines healthcare payments by automating billing, claim operations, and predictive analytics to help providers and payers reduce administrative burden, minimize denials, and accelerate collections. It brings workflows, data, and AI together so teams can detect errors in claims before submission, manage denials with root-cause analysis and one-click fixes, and get detailed real-time claim status updates directly from payers. It simplifies the ingestion of Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) data into a centralized, user-friendly format, provides revenue intelligence with actionable insights into the revenue cycle, and monitors payment integrity to highlight underpayments or overpayments according to payer contracts.
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eprovion
eprovion is a modern provider management system designed for payers, that automates contract workflows for various provider types. The system integrates tightly with claims systems to enable accurate contract loading and makes available claims-based provider profiles. Later versions of eprovion will include such features as claims issue tracking, business intelligence, and disease management. The system is web-based and enterprise-class i.e. it is scalable, secure, robust, and offers high availability, and high performance. eprovion supports the entire lifecycle of contract management - from preparing for a negotiation using provider profiles, to planning a negotiation calendar, to monitoring the contract during its lifetime and finally the renewal or termination of the contract. All of this is supported in one easy-to-use environment with powerful MS-Office integration. Contract templates can be created for reuse, and contracts can be annotated, versioned and batchprocessed.
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