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Provider
Relations
Improve
data integrity, optimize resources, and improve processes with our
contracting solution. The VIPsystem was designed to emphasize data and
language standardization and process tracking throughout the provider
contracting process. Optional interfacing with provider or claims
systems can further streamline contracting administration. Our
powerful system allows each client’s specific product lines and
business strategy to drives data integrity and process improvement.
Improve Data Integrity
· Standard Codes and Language
Sets
· Standard Templates
· Standard Language Change
– A
Language Library for Negotiations
· Security and Change
Tracking
· Single Document Repository
· Data Synchronization with
claims or provider systems
· Uniform Data Streamlines
Feed Process –
Claims, Directories, Web
Process Improvement:
· Eliminate Data Replication
Demographics entered one time
- Interface Contract detail entered one time - Interface Reduce manual
error correction Sunset multiple systems
· Eliminate Manual Approval
and Documentation Process
· Provider Relations Turns to
One Source
All contract relationships in
one record Contract detail on provider record One stop repository for
pre-contracted and contracted records Non-contracted load for claims
interface (optional)
· Improve Provider Experience
Multiple enrollment
opportunities
Field Offices, Provider
Request, CAQH, CVO Quick response to inquiries –
No need to call back for answer
· Improve Performance
Measurement
Aging and history reports
Contract Elements:
· Products with Status,
Types, Dates and Contract/Provider ID
· By Practice Location and/or
Master Contract
· Fee Schedules
· Per Diem
· Special Rates
· Special Services

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