Achieve better Medicare Advantage reimbursement with better MA rates and putting payer rules in the hands of your care team and billers
A must-have to find good payers & negotiate your MA contracts:
Easily find & share restrictive MA rules to improve documentation:
Monitor the utilization of Medicare Advantage in every local market:
Bring important contract details to your EHR and ensure resident records and claims comply with MA rules.
Select a State and/or County to identify the which payers have the most seniors enrolled in Medicare Advantage (hover for more details)
Payer Clarity software both 1) uncovers the local rates your competitors get from payers, and 2) quickly analyzes your own MA agreements.
You easily discover the rates, conditions and terms that dictate your ability to get reimbursed by that payer.
Create a Payer Clarity account and add your users.
You can monitor payer rates in your locations & share contract summaries with your care team, therapy partners, and billers.
Based on your added facility locations, Payer Clarity discloses known payer rates for all centers in their market.
We've even built a grading scale to quickly identify how well your rates stack up to the competition.
Simply import your payers' agreements (PDFs) and the Payer Clarity engine finds the important rates, rules and terms you need to know.
We even map provider locations from your agreements and build organizational comparisons for you.
We step you through the extracted data in case you want to make updates or add more details.
Review the Payer Clarity guidance and best practices on common managed care terms to find points to negotiate with payers.
Distribute essential payer rules through your EHR or share the details with clinicians, billers and vendors in Payer Clarity – for just the locations where they work.
Improve your managed care reimbursements by helping all clinical providers comply with documentation requirements and payer conditions for every Medicare Advantage patient in your care.
Start for free and see if Payer Clarity can help!
Gain clarity on the Medicare Advantage payer rates and contract terms bogging down your team and affecting reimbursements.