Turquoise Health
Turquoise Health delivers a comprehensive suite of solutions built around healthcare price-transparency and contracting workflows, offering modules such as Clear Rates Data (which aggregates over a trillion provider, payer, professional, drug, and device rate records covering institutional and professional services) and Clear Contracts (a centralized cloud application that supports contract creation, negotiation, and storage for payers and providers). It also includes Compliance+ to help organizations remain compliant with machine-readable file requirements and Good Faith Estimate rules, Analytics tools to benchmark and query market-level rate data, Custom Rates extracts tailored for specialty healthcare segments, Standard Service Packages (pre-built bundles of common procedures), Search and Care Search dashboards for rate discovery and comparison, and a Turquoise Verified program enabling providers and payers to publish and manage price transparency data.
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PayerPrice
PayerPrice is a healthcare data analytics platform that provides comprehensive insights into negotiated rates between payers and providers across the United States. By aggregating and analyzing data from all 50 states, specialties, and practice sizes, PayerPrice enables healthcare organizations to benchmark commercial rates, optimize managed care contracting, and enhance revenue cycle integrity. The platform offers tools for in- network analysis, rate benchmarking, and payment auditing, supporting stakeholders such as hospitals, providers, contracting consultants, and healthcare innovators in making informed decisions.
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symplr Payer
Save on costs, eliminate data silos, and deliver better outcomes for your members with a unified, automated provider data solution. symplr Payer provides a single source of truth for provider data that is consistently reconciled and validated against primary sources. It improves data quality, access, and transparency. Further, it eliminates duplicate requests for information, reducing provider frustration. Using symplr Payer as the enterprise-wide hub for provider data, payers can feed timely, accurate information to other downstream systems. Our highly configurable, end-to-end provider data management solution manages all pre-contract and renewal contract negotiations. Standardize and streamline your contracting processes, while capturing contract details such as sentinel events, trigger dates, configuration efforts, process steps, fee schedule info, and more. symplr Payer’s unique design allows your organization to consolidate contracting and credentialing.
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MD Clarity
Boost your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place. Spot patterns of underpayment by insurance companies. Ensure you are setting your chargemaster optimally. Assign investigations/appeals to staff and see task status, all in one place. Compare performance across payer contracts and renegotiate terms from a position of strength. Project out-of-pocket costs at a high level of accuracy, giving patients the confidence to make up-front deposits. Enable patients to make up-front deposits directly from their online estimate. Hold insurers accountable for the full amount they owe. Get the upper hand in contract negotiations. Reduce bad debt, cost-to-collect, & accounts receivable days.
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