Provider Data Management

Provider data built for how practices work

A PDM suite built to house practices and providers, organized as a tree of markets, groups, and providers, with the contract management that claims work requires.

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Why it's different

Designed for providers and practices

Custom design

Not a generic directory. Built specifically to house practices and providers.

Bulk import

Load providers and fee schedules from Excel, CSV, or your API. No manual entry.

Intelligent matching

Custom rules match billing, pay-to, and rendering providers automatically.

Contract management

Carve out codes as needed and leave the main fee schedule untouched.

Housing provider data

A structure that mirrors your network

Our PDM tools were built specifically for housing practices and providers. Data is organized in a tree structure, with markets at the top and practices and providers below, so large networks stay manageable.

Provider data tree structure
Custom contract management

Manage fee schedules without the duplication

Contracts and fee schedules are managed with online tools that handle the common edge cases (carve-outs, overrides, effective dates) without making you repeat the same data over and over.

Contract management screen
Manage large datasets

Import once, match intelligently

Bring in every provider and fee schedule in bulk, then let custom matching rules connect billing, pay-to, and rendering providers, and even custom fee schedules, with no manual entry.

Bulk import and matching
Pricing methodologies

Price providers however your contracts require

Fee for service

Fixed price, or a percentage of it, based on service date, HCPCS, and contract.

Allowable markup

A percentage of the payor's allowable, above or below 100%.

Capitated payment

Cap payments with no cash amounts tied to them, configurable as needed.

Pass-through payment

No change to the payment; it passes straight through.

Bring your provider data together

We'll show you how PDM models your network and contracts.