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Provider Profile Overview

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What is a provider profile?

Provider profiles allows credentialed practices to access the healthcare price transparency data that is relevant to them along with the tools to manage deadlines for their payer contracts and create a great negotiation letter. Whether, you’re a solo provider or a national MSO, provider profiles are PriceMedic’s fundamental building block for analysis and insights into the price transparency data. Provider profiles receive monthly data updates for all loaded payers and include negotiation deadline reminders delivered straight to your inbox.
PriceMedic Provider Profiles are a portal to market based price transparency for provider groups, large and small.

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What are Provider Profiles Used for

Provider profiles serve as the central hub to unlock the full potential of PriceMedic’s comprehensive healthcare analytics platform. Each Provider Profile includes access to PriceMedic’s comprehensive suite of tools to compare, model, and analyze your negotitated rates with each of your contracted payers and the most need-to-know terms of your contracts. With a Provider Profile, you will:
  • Conduct in-depth market analysis
  • Access current industry data
  • Utilize advanced analytics capabilities to understand your competitive landscape
  • Explore custom insights and build strategic scenarios
  • Search through our extensive database of healthcare information
Beyond basic data access, provider profiles empower you to make strategic business decisions through our comprehensive organizational tools. You can identify market opportunities, manage important business relationships, and gain insights into industry dynamics that affect your practice. Whether you’re evaluating new opportunities, assessing your market position, or planning growth strategies, provider profiles provides the essential framework to connect all of our platform’s capabilities, ensuring you have the most comprehensive and up-to-date view of your position in the healthcare marketplace.

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Feature Breakdown

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Rates

Rates Analysis

Our comprehensive tool that compares your rates against selected peer groups to identify growth opportunities in an easy-to-digest fashion.

Fee Schedules

For currently credentialed payers, we maintain a copy of your current fee schedule to help understand your contracted reimbursements.

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Explore

Reports

Designed for you to view data for custom markets by selecting payers, billing codes, regions, and specialties.

Schedule Builder

Model the Medicare and Reference-Based-Pricing fee schedules payers are using to negotiate your contracts.

Rates Table

Easily create side-by-side comparisons of your practice’s rates with selected peers to provide evidence for your payer negotiation correspondence.

Provider Search

A nationwide search tool of every credentialed provider and practice in the country at your fingertips, all the time.

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Organization

Competitors

Tailor your analysis by individually selecting competitor or similar practices to be compared to.

Contracts

Upload your payer contracts and our AI -assisted analysis will automatically pull relevant contract deadlines and financial figures.

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Common Use Cases / Customer Stories

Provider profiles help solo practitioners and small practices gain competitive insights that were previously only available to large organizations. You can quickly compare your rates against local competitors, understand what major payers are reimbursing others in your area, and identify opportunities to optimize your own fee schedules. Our platform gives you the data and tools needed to negotiate better contracts and make informed pricing decisions without requiring a dedicated analytics team.
Provider profiles enable multi-location practices to maintain consistency across their network while optimizing for regional market conditions. You can analyze performance differences between locations, standardize contracts and fee schedules across your practices, and identify which sites are performing above or below market rates. Having all this information in a centralized view helps you make better strategic decisions about expansions and resource allocation without the need for loads of extra research.
Provider profiles provide enterprise-level organizations with the comprehensive data management and analytics capabilities needed to oversee complex, geographically distributed operations. You can benchmark performance across different markets, identify best practices from high-performing locations, and maintain consistent quality standards while adapting to local market conditions. Our data can also be exported in an easy-to-process package and integrated into your own workflows without the need to fetch and compile it every month.

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Keep Exploring

Billing Code Lists

Learn how to configure the procedures and services for accurate reporting

Profile Configuration

Set up team access, preferences, and operational settings
A well-configured Provider Profile is the key to unlocking PriceMedic’s full potential for rate optimization and market intelligence.
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