Payor Contracts

Every provider learns the same frustrating lesson: no two payers speak the same language. Each uses its own portals, file formats, and polices. Yet, the irony is that much of the essential information that payors communicate (eligibility, authorizations, remittances, adjustments, and denials) are nearly identical across the board, just delivered inconsistently. If providers must meet strict documentation and quality standards, shouldn't payors be held to the same operational

In the intricate landscape of healthcare reimbursement, the terms of payor contracts serve as the foundation for a provider's financial...

In the evolving landscape of healthcare, effective payor contract management is critical for maintaining the financial health of any...