Support Quality Patient Care
While Mitigating Risk
While Mitigating Risk
Health insurance companies and other healthcare payers like PPOs and HMOs are hyper-focused on containing costs and delivering quality care while maintaining compliance with ever-evolving regulations and emerging payment models. To keep up with regulatory changes, organizations need industry-specific contract intelligence so they can adhere to best practices, update complex agreements quickly to ensure compliance and seamlessly onboard new groups and hospitals to address a network’s primary objective of providing outstanding patient care.
Contract Intelligence Tailored
to Healthcare Payers
to Healthcare Payers
Contract intelligence enables you to unlock the data and information in all your contracts to make better-informed decisions, build stronger business relationships, and adapt quickly to fluctuating market conditions.
Icertis Contract Intelligence for Healthcare Payers is the only solution that automates provider agreement assembly, compliance management, and risk detection—enabling payers to quickly establish, protect, and scale their provider networks. The Icertis platform also enables mass-amend agreements to ensure compliance in a strict regulatory environment. By automating the creation and updating process for complex agreements, including PPA, BAA, and ASA, Icertis enables healthcare professionals to stay focused on delivering high quality, patient-centered care.
Icertis Contract Intelligence for Healthcare Payers delivers material value in compressed timing with out-of-the-box:
A Solution Built Specifically
for Healthcare Payers
for Healthcare Payers
Icertis Contract Intelligence for Healthcare Payers is the only contract lifecycle management solution tailored to companies across the industry:
- Health Insurance
- HMOs
- PPOs
- And more
Icertis has applied its deep experience with customers across the healthcare industry to develop a solution that speeds the benefits of contract intelligence while leveraging best practices and industry intelligence.
The Icertis Advantage
Build & Protect Provider Ecosystems
Add new network providers and amend existing agreements to ensure dynamic provider contracts meet network and patient needs. Preloaded network provider types, payer agreement templates, and state plans accelerate onboarding velocity.
- Build comprehensive provider agreements
- Accelerate contract writing velocity
- Validate practitioner credentials and automate delegated credentialing
- Enable business associate agreements ​to ensure PHI compliance
- Be audit-ready with 360-degree reporting
Stay on Top of Regulatory Updates
Ensure compliance and audit traceability with the ability to execute mass amendments in response to regulatory changes. Eliminate manual search and updates that can consume weeks and even months. In addition, automated workflows enable proper audit tracking.
- Easily identify agreements requiring updates due to regulatory changes
- Mass-amend agreements with a single click
- Automatically trigger updates based on associated regulatory policies and procedures
- Dynamically route addendum requests
- Track compliance of Amendment Objection Notice Period
Negotiate with Confidence
Track obligations and balance risk across the provider ecosystem. Access, review, and share comprehensive provider agreements that coalesce plan-specific exhibits, reimbursement terms, and fee schedules.
- Identify comparable agreements with similar risks
- Comprehensive view of all obligations
- Auto-assign obligation tasks for completion
- Track obligation adherence and risk mitigation
- Retrieve attestation documents with single click​
- Expose SLA and associated risk
Monitor 360° Performance
Translate provider ecosystem data into ​actionable insight. Configurable drag and drop dashboards keep your finger on the pulse of the entire provider ecosystem with real-time data.
- Monitor your provider network with dashboards ​updated in real time
- Display comprehensive overview of network provider ecosystem
- Download and share executive dashboards
- Export unlimited data sets via single click
- Generate and expose NPA data files to connect with third party claims systems
Integrate Seamlessly with Enterprise Technology
Icertis Contract Intelligence for Healthcare Payer integrates seamlessly with business, sales, marketing, and transactional software from the world’s leading vendors, giving you better visibility into—and control of—contract data and information, wherever it resides.
Companies Trust Icertis for Contract Intelligence Solutions
Companies are rethinking how they leverage the contracts that define their relationships with suppliers and customers. These companies structure, connect, and capitalize on critical contract information to accelerate commercial negotiations, increase compliance, and reduce stakeholder risk with Icertis Contract Intelligence.
