Payer Contract Management demo

Every PBM, health plan, Part D, GPO and health-system contract on one obligation calendar — each date read from its clause, each payment checked against it. 1:15

What the demo shows

A market access solution for contract teams that abstracts PBM and plan contracts and dates.

Agents read every agreement and amendment into cited terms, reconcile the terms in force, and turn each date-bearing clause into a duty on one month calendar with an owner and reminders. A payment checker recomputes every rebate payment and fee invoice from the clause in force and marks the day when what was paid differs. Contract operations confirms the terms, government pricing decides Best Price flags, the deal desk decides every notice and revenue accounting decides every variance.

Transcript

  1. Payer Contract Management turns payer contracts into cited terms and dated duties for market access contract teams.
  2. Today, those dates sit in PDFs and a missed notice window renews a contract nobody chose.
  3. Here is October. 42 obligations from 20 contracts, each one read from its clause.
  4. One is read. Summit View's notice not to renew is due in five days, clause beside it.
  5. Three days carry a flag.
  6. What was paid differs for what the clause says.
  7. Crestline billed its fee at 4.5% of WAC.
  8. The clause says four.
  9. 1.55 million over.
  10. Lena opens a recovery claim inside the dispute window.
  11. Sam signs the notice, draft it from the clause, and it goes out on time.
  12. Built on Botminds: agents, data, screens, and governance on one platform.

Transcribed from the film’s narration. Captions are on the player.