Creating A Centralized, Unified Payer Contract Management System

Given the financial, operational, and legal implications of managed care contracts, automating contract terms and managing the requirements of a multitude of contracts has moved beyond the capabilities of manual processes.

A Strategic Approach to Managed Care Contracting

We work with you to carry out an internal and external assessment where we evaluate current practice, payer contract performance, revenue opportunity assessment, reimbursement options, SWOT analysis, and standardize the contracting process.

Managed Care Contracting Process We Follow

Being a top managed care contracting service provider, we are backed by experienced and qualified staff with in-depth knowledge of the process. Our managed care contracting process begins with the gathering of the following data to construct your Contract Analyzer.

  • Practice Letterhead
  • NPI and Tax ID
  • Physician Codes and Charges
  • Top-5 Payer Contracts and Fee Schedules

Managed Care Contracting Results We Achieve

Full visibility into your payer contracts, combined with the ability to manage and analyze these contracts in a proactive manner, which is key to maximizing reimbursement for clinical services.

A structured approach to payer contract and fee schedule management, with the CodeToolz Contract Analyzer, healthcare practices stay ahead of their finances today while preparing for tomorrow.

Practices are well-positioned to take advantage of emerging innovative reimbursement models.

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