Administer provider networks and payer contracts at scale
Contract Logix helps a health plan manage contracts, maximize profitability, and streamline compliance, with the terms inside those contracts turned into structured intelligence.
Contract intelligence starts with structured data
Contract Logix models the terms inside a payer’s contracts, the provider fee schedules, PBM rebates, quality measures, and regulatory obligations, with Custom Data Objects that fit those structures, and captures them with AI data extraction at line-item granularity. Those terms become operational data, the foundation for managing contracts, capturing their value, and staying compliant.
Run contract operations end to end
Execute contracts faster across the provider network, on consistent processes with full version control, and see the whole portfolio.
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Establish a single source of truth. Every provider, PBM, and vendor agreement captured and connected, with version history, role-based access, and a 6-year audit trail.
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Author contracts faster. Managed templates with conditional clause logic, structured intake, and no-code workflow automation.
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Stay ahead of every obligation and due date. Automated alerts on renewals, fee-schedule changes, and key dates keep the network current.
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Review contracts in minutes, not hours. AI first-pass, playbook-driven redlines inside Microsoft Word and Google Docs.
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Turn contract intelligence into business insight. Dashboards into portfolio health, rate-table status, risk concentration, and compliance reporting, in real time.
Manage provider rate tables as data
Hold each provider’s per-state fee schedule as structured rate tables, so a rate change is tracked and applied across the network rather than re-keyed.
Capture the value in every contract
Put the provider rates, rebates, and renewal economics inside your contracts to work as operational data.
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Revenue capture. Surface provider rate tables and rebate schedules so the plan pays and collects on the terms it agreed to.
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Cost avoidance. Catch unfavorable auto-renewals, escalators, and vendor concentration before they cost money.
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Exposure and risk. Surface the liability, indemnification, and termination terms buried across the network.
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Reduce outside counsel spend. AI-assisted review handles routine agreements in-house.
Build compliance into every contract
Build required terms, approvals, and certifications into the workflow, and stay audit-ready.
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Enforce required terms and certifications. Applied consistently across the provider network and delegated relationships.
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Prove compliance across the portfolio. Delegated-entity documentation, network-adequacy status, and quality obligations captured as structured data and reportable on a CMS or state audit timeline.
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Stay audit-ready. Structured audit trails and audit-ready reporting that support audit defense.
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Reduce regulatory exposure. Surface lapsing or missing required agreements before they become violations.
Healthcare compliance, in depth
Contract Logix supports the specific regulatory requirements your contracts carry. Go deeper on:
Common questions
How does Contract Logix handle provider networks at payer scale?
It runs the full lifecycle across provider contracts in the tens of thousands, with rate tables, renewals, and status tracked and reportable from one repository.
How does it support PBM rebate transparency?
It tracks rebate pass-through attestation and audit-rights status, so plan-sponsor transparency obligations under CAA 2026 are answerable from the record.
Can it help with M&A contract due diligence?
Yes. Contract Logix Organize with Contract-Operations-as-a-Service ingests and structures thousands of acquired contracts on a compressed timeline, surfacing obligations, terms, and risk flags before integration.
More than 60,000 users across hundreds of organizations run their contract operations on Contract Logix.
Microsoft Azure · SOC 2 Type II · HIPAA · FISMA
See Contract Logix for your plan.
Request a demo and see how Contract Logix manages your provider contracts, captures their value, and keeps them compliant.
