Managed services for US healthcare teams
Payer Contracting and Underpayment Review Services
Organize payer agreements, reconcile fee schedules, investigate reimbursement differences, and prepare evidence for renewals and negotiation decisions.
Practice owners, finance leaders, contract managers, and billing companies that need a clearer contract inventory and payment variance review process.
Request a service assessmentWhat Quickintell performs
- Organize supplied agreements, amendments, rate schedules, and effective windows.
- Review schedule completeness and reconcile agreed payment evidence to contract terms.
- Investigate candidate underpayments and prepare evidence for customer-approved disputes.
- Prepare payer scorecards, renewal work lists, and rate-change scenarios for negotiation.
What your team supplies and approves
- Supply executed contracts, amendments, rate schedules, claim and payment history.
- Retain authority to approve negotiations, amendments, dispute submissions, and legal positions.
- Confirm contractual interpretation with the appropriate finance and legal owners.
How the work moves through the queue
Step 1
Contract inventory
Establish the relevant agreement, entity, location, schedule, and effective dates.
Step 2
Variance investigation
Compare supported expected reimbursement to allowed and paid amounts, then investigate differences.
Step 3
Renewal and dispute preparation
Prepare evidence and scenarios for the customer's approval and payer discussion.
Staffing and review responsibilities
Contract operations and revenue integrity staff prepare inventories and variance evidence. Finance and legal owners validate contract interpretation, negotiate final terms, and authorize disputes.
Turnaround, exceptions, and escalation
Missing amendments, incomplete fee schedules, conflicting effective dates, patient responsibility, and legitimate adjustments are resolved before treating a difference as an underpayment. A scenario is not a promise of negotiated rates or recovery.
During assessment, agree operating hours, readiness criteria, response expectations, escalation contacts, and reporting cadence in the service agreement.
Reporting your team receives
- Contract inventory and schedule gaps
- Payment variance investigation queue
- Approved dispute status and reconciled recovery
- Renewal dates, payer scorecards, and scenario assumptions
Onboarding and access
Start with the payer and entity roster, executed agreements, amendments, schedules, and a representative payment sample. Agree assumptions, review authority, and escalation responsibilities before preparing disputes.
Pricing and scope
The quote depends on payer and contract count, schedule complexity, historical review period, payment volume, renewal scope, and dispute preparation. Negotiation support and legal work should be explicitly identified.
Evaluate the delivery process
Request a walkthrough of a representative work queue, its review steps, the customer handoff, and a sample report. Ask which systems and payer channels apply to your organization, who reviews exceptions, and how outcomes will be reconciled.
Your assessment establishes the service scope and evidence needed for your practice. Performance targets and commitments belong in the agreed service plan.
Choose the operating model for your team
Use a managed service when you want Quickintell to perform the agreed work. If your staff will operate the workflow, explore payer contract management software.