Enable Intelligent Provider Contract Management

A configuration of the Provider1™ Platform for end-to-end provider contract management
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Simplify Healthcare is positioned in the Leaders Category in the 2023 IDC MarketScape for U.S. health plan product/plan benefit configuration solutions.

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Manage your provider contracts in a single source of truth

Keep key contract attributes aligned with the provider data
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Manage contracts and the contracting process

Provider1™.Contract enables Payers to store contract templates, reuse language, and manage redlines and notes

Keep contracts and data aligned

Provider1™.Contract manages contracts and keeps key contract attributes (i.e., fees and rates) aligned with the provider data

Contract Negotiation

AI-enabled negotiation of contracts, fees, rates, and reimbursement models, including VBR, validation and generate contract artifacts, and e-Sign finalized contracts

Power your connected provider journey with integrations

Extend the capabilities of Provider1™.Contract with a host of integrations to achieve end-to-end lifecycle management of your provider data
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.IntegrationHub

Use API and events to communicate data in a model that is easily consumable by target systems

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.DataServices

Enable OOTB and custom reporting, ad-hoc querying, analytics layer (e.g., Power BI), and file extracts

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.SuperUser.Studios

Empower superusers to maintain design, rules, and workflow configurations while also establishing governance

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.SelfServe

Enable Providers to load roster files, update facility, practitioner, location information, and more

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.PDM

Integrate seamlessly with .PDM to enable end-to-end Provider Data Management

.AI

Leverage the power of Generative AI in features such as provider credentialing, smart ingestion of provider rosters (in any and all formats) into the provider database, on-demand provider analytics, and contract clause recommendations during renewals and negotiations

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Claims1™

Enable automated claims configuration of provider data with transmission and translation logic, when a file extract or API is insufficient testing to support claims adjudication

Simplify Healthcare is positioned in the Leaders Category in the 2023 IDC MarketScape for U.S. health plan product/plan benefit configuration solutions.

Our Customers Simply Love Us

Director

Network Management

We are so happy with our decision to select Provider1™.Contract We got the solution implemented in 6 months and it’s made our lives so much better. We have automated how we manage data and contracts for nearly every provider in the state
Provider Contracting

Network Management

After implementing Provider1™.Contract, we essentially had end-to-end visibility across our provider networks that didn’t exist before.
Advisor

Provider Network Operations

We knew what we should be able to do in managing our contracts and adopting Provider1™.Contract made us realize that there are simple and efficient ways to do it. That’s really exciting