Solving today''s challenges and laying the foundation of efficiency and flexibility for tomorrow. Learn more..

Contracting

Portico’s Contracting solution enables health plans to efficiently manage the contracting lifecycle and automates integration with the provider claims pricing function. It supports the creation, maintenance and enforcement of standard contracts while allowing the flexibility of custom contracts. Portico’s Contracting solution also promotes web-based transparency of contracts to providers.

Key features:

• Centralized repository for provider contracts and images
• Pre-built contract workflows for end-to-end contract lifecycle management (offer, negotiate, review and escalate)
• Drag and drop contract template creation and maintenance
• Comprehensive Library of standard clauses and alternative clauses
• Online provider contract look-up and intent review
• Seamless integration to fee schedule administration and claims pricing functions
• Microsoft Word compatible
• Rules-driven contracting standards, compliance enforcement and reporting
• Robust search capability (terms, clauses, specific language, etc.)
• End-to-end audit and reporting

Key benefits:

• Reduced medical cost ratio
• Increased administrative savings
• Decreased legal liability
• Faster retrieval and comprehensive access to contract documents
• Increased auto adjudication and claims payment accuracy

Overview Recruiting Credentialing Contracting Provider Information Mgmt. Provider Directory Provider Relationship Mgmt. Provider Self Service Claims Support