Translating provider contract language continues to be an inefficient, labor-intensive challenge, costing health plans thousands of hours and millions annually.
Doczy.ai™, an AArete solution, tackles these challenges head on by digitizing and analyzing complex provider contracts, leveraging leading AI technology and proprietary methodology derived from decades of healthcare consulting experience. Gain unprecedented visibility into provider contract data, paving the way for sustainable, scalable operational efficiencies.
The Power of Doczy.ai™
Transformational Provider Contract Interpretation
Doczy.ai™ processed 10 million+ documents for health plans in 2024
Doczy.ai™ uses advanced large language models (LLM) to rapidly process unstructured provider contract data, transforming it into a structured source of truth, supporting your efforts to:
Boost
Efficiency
Eliminate costly manual processes with AI-driven contract interpretation, saving time and reducing operational costs.
Enhance
Payment Accuracy
Prevent claim mispayments and better align payments with contract terms using advanced analytics.
Elevate Contract Compliance and Reduce Risk
Avoid costly legal and financial penalties by keeping claims in line with contract terms.
Strengthen Provider Relations
Build trust with providers by paying claims accurately the first time.
Transforming Health Plan Operations with Doczy.ai™
Acting as the nucleus of provider contract information, Doczy.ai™ delivers significantly improved efficiencies and outcomes across several network, operations, and systems-related strategic initiatives across your organization including:
Accurate Claims System Adjudication
For claims to be properly adjudicated, contract data must be accurately translated into the claims system. Doczy.ai™ minimizes the risk of human error by validating data, enabling seamless claims system integration for more accurate and efficient payment processes.
Payment Accuracy
AArete Payment Intelligence® leverages Doczy.ai™ to drive contract configuration accuracy and payment precision, preventing costly reoccurring errors. It compares claims payments and configuration setups to contractual terms and complex carveouts to identify inaccuracies for redetermination.
Strategic Network Solutions
Accurately written and translated fee-for-service contracts lay the foundation for a strong provider network. Doczy.ai™ enhances provider network optimization and negotiations by delivering insights into narrow network structures, value-based care arrangements, and network performance, including adequacy, density, and specialty alignment.
Seamless Systems Integration & Migration
Health plans frequently enter new markets, change claims systems, integrate new pricing solutions, or acquire companies. Understanding legacy systems can be challenging. Doczy.ai™ streamlines conversion processes, replacing speculation with a reliable, data-driven approach for smooth and accurate migrations.
A Smart, Secure Solution
Dependable data for sustainable growth
Doczy.ai™ provides elevated contract comprehension with cutting-edge capabilities by pairing proprietary methodology and practical AI with decades of healthcare experience. Key benefits of those synergies include:
Actionable
Market Intelligence
Stay competitive with insights that guide smarter contract strategies.
Accessible
Data
On-demand access to secure, accurate contract information, anytime.
Effortless
Updates
Simplify contract updates with automated processes and maintain consistency in real time.
HITRUST
Certified
Committed to data security and compliance, Doczy.ai™ leverages AWS and Snowflake infrastructure covered under AArete’s HITRUST r2 certification.
Let’s Connect
Ready to transform your provider contract interpretation processes? Connect with us to explore how enhanced contract comprehension with Doczy.ai™ brings clarity, fortifies compliance, and drives innovation to transform your health plan.
