- • Long Provider Empanelment and Provider Rates Benchmarking Time.
- • Benchmarking Providers across similar Provider rates is a tedious error prone and time-consuming task.
Existing Ancestral Provider Empanelment Process
Provider Proposes the Rate for each of the services over mail
Network Pricing team manually computes the impact on Net Payout (increase) due to revised or new provider rates.
Once the Provider Negotiations are done, Team manually uploads the rate card into the system.
Provider Proposes the Rate for each of the services over mail
Network Pricing team compute in excel the rates of benchmark providers (similar vicinity and cost)
Network Pricing team manually computes the impact on Net Payout (increase) due to revised or new provider rates.
Network Pricing Team get approvals from the management on the proposed rate card to ensure the increase in claim payout is within the acceptable standards.
Once the Provider Negotiations are done, Team manually uploads the rate card into the system.
In case of multiple negotiations between Provider and Insurer, the Team performs Steps 1-4 steps again until the desired negotiations are met.
Network Pricing team compute in excel the rates of benchmark providers (similar vicinity and cost)
Network Pricing Team get approvals from the management on the proposed rate card to ensure the increase in claim payout is within the acceptable standards.
In case of multiple negotiations between Provider and Insurer, the Team performs Steps 1-4 steps again until the desired negotiations are met.
90% REDUCTION in Process Time and reduced risk of errors in benchmarking.
Submit Service Rate Card (as a provider)
Our Al benchmark rates with peer providers and acceptable net impact!
Our Al will suggest areas of peer excellence, roll-out custom SOPs in seconds that help in informed Provider Management
If all seems good our AI will Empanel Provider & Revise Contract in seconds.
Otherwise, our AI allocates your case to Human Intelligence to discuss on proposal as soon as possible.