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SALES ENQUIRY

PBoR - PROVIDER BOOK OF RECORD

Taking provider management to the next level

AUTOMATE YOUR PROVIDER CONTRACTS

Datamatics’ Provider Book of Record (PBoR) is an integrated robust and scalable cloud-based framework which automates, streamlines, and digitizes the complete provider onboarding, credentialing, and contract management process.

Using the secure API framework, PBoR provides real-time connect with multiple systems, namely Policy Administration, Pre-Auth & Claims Management, Rules Engine, Provider Portal and Finance systems.

PBoR BENEFITS

0%

leakage of claim over payments
resulting from incorrect procedure pricing

90%+

reduction on contract and rate validation time

30 - 40%

reduction in claim processing
time cycle

100%

audit trail of claims

50%+

reduction in credentialing time

PBoR ADVANTAGES
High Efficiency

High Efficiency

Easy administration, automated lead generation, robust compliance management, quick customization, and real-time procedure price validation
Process Optimization

Process Optimization

Uniformity of procedure rates, volume driven price negotiations, easy reconciliation and reduction in credentialing time
High Accessibility

High Accessibility

Digital platform, easy search & retrieval, role-based access security, and secure integration with external systems
Easy Tracking & Reporting

Easy Tracking & Reporting

Multi-level dashboards using Dynamics CRM and business analytics using Power BI and TruBI
Seamless Delivery & Rollout

Seamless Delivery & Rollout

Multi-lingual, multi-geography, and template-driven deployment

PBoR CAPABILITIES
Provider Management

Provider Management
  • Lead management and provider onboarding,
    including provider credentialing
  • Management of multi-tier provider networks
  • Complete communication with provider through
    emails, follow-up, etc.
  • Multi-demography data for large provider networks
  • Multiple contact information per provider
Contract Management

Contract Management
  • Contract information of each provider
  • Flexibility to design contract terms and procedure groups
  • Procedure pricing information against procedure codes
  • Supports ICD 10, CCSD and any other custom procedure codes
Payment Management

Payment Management
  • Provider invoice information
  • Approve provider payments to Claims / Finance
  • Record Payment history
  • Reconciliations
Claims Verification Management

Claims Verification Management
  • Real-time procedure price validation
  • Maintain all claims information and history

FEATURED CONTENT
A leading general insurance provider automates reconciliation of new policy payments

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Datamatics is a Digital Technologies, Operations, and Experiences company that enables enterprises to go Deep in Digital to boost their productivity, customer experience and competitive advantage.
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