National Healthcare Price Transparency Conference Recap
The NHPTC was a significant event bringing together industry leaders to discuss the critical issues of healthcare pricing and transparency.
First, we parse every single file (TPAs, employer plans, etc.). Since real rates are scattered across all of the files, we parse every file to ensure our customers receive the correct rates. Then, we enrich the data with real-world all-payer claims to remove noise (ghost rates, unlikely rates) and connect what is in the contract (price transparency data) to what was paid (claims remits).
Finally, we work with our customers across the country, who validate the data with contracts in hand. From all of them, we have heard: “This matches our contract rates to the penny.”