Contract Modeling

Modeling allows you to mix and match contract profiles, service types and claims within a scenario to test reimbursement methods. Typically, you create a model document to perform one of the following tasks:

• Forecast the performance of a contract by creating a model document with a defined patient list for one or more scenarios to show the financial impact of a proposed agreement.
• Test the accuracy of a contract profile setup.
• Generate reports and worklists to show the financial impact of a contract/proposal.

How To Topics

The menu on the left provides key concepts and step-by-step instructions that guide you through modeling contracts.

The following topics provide key concepts and step-by-step instructions that guide you through modeling contracts.

• Modeling Methods
• Model Document Building Blocks
• Scenario
• Patient List
• Contract Profile
• Service Type Tables
• Model Document Sections
• Model Document Execution Modes
• Output and Research
• Canary Claims
• Manage Canary Claims
• Manage Models and Patient Lists
• Research Model Documents
• Work with Model Documents
• Manage Models
• Define a New Patient List
• Select an Existing Patient List
• Research Patient Lists
• Review Patient List Details
• Manage Patient Lists from Bills
• Manage Patient Lists from Claims
• Manage Patient Lists from Canary Claims
• Execute Distributed Modeling