Perform contract auditing and analysis to gain visibility into payer contract reimbursements and performance

Unfortunately, missed payer payments and underpayments happen. Identifying and correcting these inaccurate payments often falls to healthcare providers. These errors can cause stress and volatility to your revenue cycle.

Simple human error is the main reason why medical claims are denied. The smallest typo or discrepancy can lead to an immediate denial, and reworking a claim rarely increases its chance of being more accurate. Streamline claims management by checking that every claim is clean and error-free before it is submitted. Fewer denials and reworked claims mean a faster and more predictable revenue cycle, as well as lower administrative costs and more time for staff to focus on patient care.

You need automated access to the right data. Our solutions help you get reimbursed accurately and quickly, while strengthening your relationships with payers.

Validate reimbursement accuracy

Recover underpayments

Manage and execute appeals

Manage claims status

Evaluate contract results

Negotiate favorable terms with payers

Streamline and simplify workflow processes

Contact our team to get started

Learn more about our contract management solutions

Automated Healthcare Payer Alerts

Avoid payment delays and lost revenue with automated payer policy and procedure change notifications.

Contract Manager and Analysis

Audit payer contract performance to assure compliance—and maximize revenue.

On-Demand Webinar

Hear how OrthoTennessee's Manager of Payer Strategy has achieved scale and collects hundreds of thousands of dollars annually from payers with Contract Manager. 

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More information about Experian Contract Manager

  • Our team of contract analysts defines and maintains your contract terms, fee schedules, carve-outs and payment policies
  • Reimbursement is monitored without involving IT thanks to online dashboards and reports
  • Payment discrepancies are reduced with Power Reporting, which provides revenue cycle intelligence and interactive graphs

Timothy Daye, Director, Managed Care Contracting at Duke Health Integrated Practice, shares how Experian Health's Contract Manager solution helps their organization protect revenue.

The University of Iowa Hospitals & Clinics saved time and money implementing a contract management system that allows them to monitor payer compliance and audit remittances based on latest payment rules and adjudication logic. 

Contract management resources

2024 Best in KLAS: Revenue Cycle: Contract Management

The secret to decoding insurance payments and contracts

Keeping up with payer alerts

Collect every dollar due

Contact us

If you would like to talk to a representative immediately, please call us at

1 888 661 5657

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