Icertis Contract Intelligence for Healthcare

Icertis is trusted by these leaders.

Australian Unity selected the ICI platform to speed up the contracting process, unlock hidden value in enterprise contracts and create a single source of truth for all contracting activities while helping ensure compliance with complex regulations in the healthcare and assisted living industries.

Common challenges.

Today’s healthcare payors and providers operate in an ever-changing, complex regulatory and commercial environment. In order to stay competitive and compliant, these organizations need to be able to react quickly to changing laws and foster close collaboration with third-party business partners. Key to responding to these imperatives are contracts.

If left unaddressed, these challenges can lead to legal liability, leakage in the form of incorrect billing or reimbursement, high procurement costs and poor patient experiences.

In working with some of the world’s largest healthcare organizations—both payers and providers—Icertis has identified a number of common challenges:

Manual management of complex agreements between payers and providers is time-consuming and error-prone, especially for Physician Participation Agreements that contain provider details, program details, large volumes of reimbursement terms, participating locations, etc.
Business Associate Agreements (BAAs) required by law are cumbersome to initiate and verify, slowing the contracting process
Claims, disputes and change requests are impeded by a lack of self-service capabilities on agreements
Inability to take bulk actions like mass amendments on large volumes of contracts
Complex Administrative Service Agreements between providers and employers are difficult to create and maintain
Large volumes of procurement contracts for products and services at hospitals and clinics are difficult to assess for optimization and must support OpenRFx to push details to supplier portals

The Icertis solution.

Icertis has implemented Contract Lifecycle Management (CLM) solutions for some of the world’s largest healthcare payors and providers, leveraging the Icertis Contract Intelligence (ICI) platform combined with our powerful suite of applications.

While the ICI solution is ultimately configured for each customer, our CLM for healthcare capabilities include:

Bulk Actions

Functionality to execute bulk actions including mass amendments on Physician Participation Agreements to quickly respond to high volumes of regulatory or commercial changes

Automated Verification

of required BAAs before contracts are completed and auto-initiation of BAAs in cases where they are missing

Case Management Capability

to allow stakeholders to submit requests for amendments, new contracts and disputes

Source-to-Contract Functionality

Full source-to-contract functionality to optimize direct and indirect procurement

Icertis’ healthcare solutions offer unmatched benefits across the entire enterprise. We handle all contract types, have integration adapters for other enterprise systems, and can ensure that companies continue to maximize the value of their contracts long after each one is signed.

Featured applications and integrations.

With unmatched technology and category-defining innovation, Icertis’ applications, experiences and integrations push the boundaries of what’s possible with CLM.

ICI Collaboration Portal app

Enable faster contract turnaround time through seamless collaboration.

ICI Obligations Management app

Significantly reduce risk by improving visibility into, and compliance with, all obligations.

ICI Sourcing Application

Place contracts at the center of the sourcing process to ensure compliance, minimize risk, and create long-term strategic agility.

Whitepaper

Enterprise Contract Management for the Healthcare Industry: An Industry Overview

With the Icertis Contract Intelligence (ICI) platform, healthcare payors and providers can ensure full compliance in a strict regulatory environment and enable seamless contract collaboration between insurers, physician groups and other stakeholders.

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