Provider Contracts
Ask any question of a hospital agreement and get the agreed rate, package or clause, cited.
Why it matters
Network agreements, tariff sheets and addenda sit in shared drives; processors guess which rate applies and disputes follow.
How the solution handles it
Agents index every agreement, tariff and addendum by hospital and effective date, find the rate or clause in force and answer with every line cited. The provider network manager confirms anything shared with a hospital.
How a question moves
Four agents index, track versions, find rates and answer with citations; a provider network manager confirms what is shared.
What it reads, and what it hands back.
What goes in
- Hospital agreements and MoUs
- Tariff sheets and package lists
- Addenda and rate revisions
- Network circulars
What comes out
- Cited answer
- Rate in force on a date
- Expiring and missing terms
Who uses it
The difference, in numbers.
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
“Target” = design goal, measured in the live solution · agents = the live solution’s configuration
4 specialist agents. One person decides.
More in this division.
Every cashless request checked against policy and tariff, ready for a doctor well inside the 1-hour clock.
Discharge SettlementEvery final bill checked against the pre-auth and tariff, so final authorisation lands well inside 3 hours.
Reimbursement ClaimsEvery reimbursement claim read, checked and priced, with a cited file ready for decision in a day.
Build this
for your team.
We’ll show Provider Contracts running on your own documents.