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Contracting :: Provider Networks

One Simple Truth: You Only Need One System To Manage Provider Networks

One End-to-End Solution: Solicit, Recruit, Credential, Contract, and Track Performance with One Powerful Solution.

Health Plans are taking a new approach to managing provider data. They are moving away from departmentalized software and seeking solutions that eliminate redundant data sources and optimize resources. New solutions must eliminate manual processes, redundant data entry as well as offer true electronic records and opportunities for integration that result in performance improvement for the plan, providers and members. Reduced costs for implementation, maintenance, system administration and process improvement has driven a movement towards vendor-implemented solutions.

The VIPsystem offers One Solution for Contracting and Network Management

• Contract Creation:
  •  Recruiting, Record Initiation, Template Generation, Ticklers and Tracking
• Contract Repository:
  •  A Single Data And Image Repository, All Documents and Versions are Captured, Finalized Contracts Stored As Images, Audit and Reporting includes data tables with Contract Changes, Language Replacements, Trigger dates and detailed Rates and Terms. Searchable Data Sets in addition to Contract Documents to Support Compliance Audits
• Contract Negotiation:
  •  Process Steps, Non Standard Reason Codes, Approved Language Sets, Contract Versioning, Contact Tracking and Management, Workflow and Task Notifications, Multiple Communication Methods
• Contract Approval:
  •  Process Steps and Approval Requirements
• Contract Types:
  •  No Limit To The Types Of Contracts That Can Be Supported
• Contract Fulfillment Tracking:
  •  Interface Development and Data Calls using Services Will Allow our Clients to Audit Contract Fulfillment
• Contract Optimization:
  •  Tracking Contract Data Allows for Optimization and Continuity, Process Steps, Non Standard Reason Codes, Approved Language Sets, Contract Versioning, Contact Tracking and Management