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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Achieving significant advancements in both clinical and administrative outcomes, Evolent Care Partners, a healthcare system in the Midwest, has earned the distinction of being ranked third nationally for both total shared savings and the percentage of savings against benchmarks. By providing independent primary care physicians with essential capital and resources, Evolent Care Partners empowers them to engage in and thrive under two-sided payer contracts while mitigating their financial exposure. New Century Health enhances cost-effectiveness and quality of care in oncology and cardiology by leveraging clinical evidence to inform care decisions, a process that enjoys support from both payers and providers alike. Furthermore, Evolent Health Services streamlines health plan operations through a suite of comprehensive services backed by a modern, integrated platform and a genuine model of strategic partnership. Additionally, the organization encourages exploration of insights and news related to value-based care, population health, health plan administration, and various topics concerning the transformation of healthcare. Through these initiatives, Evolent aims to foster a more efficient and effective healthcare landscape.

Description

Reduce expenses, break down data silos, and enhance outcomes for your members with a cohesive, automated provider data solution. symplr Payer serves as a reliable single source of truth for provider data, ensuring it is regularly reconciled and verified against primary sources. This solution significantly boosts data quality, accessibility, and transparency. Additionally, it alleviates provider frustrations by eliminating redundant requests for information. By utilizing symplr Payer as the central hub for provider data across the enterprise, payers can disseminate timely and precise information to various downstream systems. Our comprehensive and adaptable provider data management solution oversees all pre-contract and renewal contract negotiations. You can streamline and standardize your contracting workflows while meticulously capturing contract specifics such as sentinel events, trigger dates, configuration efforts, process steps, fee schedule information, and more. Furthermore, symplr Payer's innovative design enables your organization to effectively merge contracting and credentialing processes into one seamless operation. This integration not only simplifies management but also enhances overall efficiency in handling provider data.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

OpenPM

Integrations

OpenPM

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Evolent Health

Founded

2002

Country

United States

Website

www.evolenthealth.com

Vendor Details

Company Name

symplr

Country

United States

Website

www.symplr.com/products/symplr-payer

Product Features

Benefits Administration

COBRA Administration
Claims Management
Deduction Management
Disability Insurance Administration
Employee Benefits Administration
FMLA Administration
FSA Administration
Flexible Spending Accounts
For Brokers
For Employers
HIPAA Compliant
Health Insurance Administration
Life Insurance Administration
Online Benefits Enrollment
Premium Billing
Provider Management
Retiree Administration
Retirement Plan Management

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Product Features

Contract Management

Buy Side (Suppliers)
Completion Tracking
Compliance Tracking
Contract Lifecycle Management
Electronic Signature
Full Text Search
Government Contracts
Pre-built Templates
Sell Side (Customers)
Specialty Contracts
Version Control
Workflow Management

Credentialing

Appointment Management
Certification Tracking
Committee Management
Document Management
Expiration Management
License Verification
Online Applications
Privileging

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