Provider Pricing: Automate Claims Pricing for Complex Pricing Arrangements

Provider Pricing works with a health plan’s selected claims platform for a competitive edge in managing complex, non-traditional pricing arrangements for all lines of business.

• Rapidly adapt to regulatory and contract pricing changes with a flexible configuration that can be completed without the help of IT staff.
• Pay claims accurately and calculate the lowest allowable amount by comparing multiple fee schedules, rates and percentages.
• Lower operational costs by eliminating the need to manually process claims that require complex calculations.