Practice ops
Payer contracts
Know what you were supposed to be paid. Store payer contract metadata and link it to fee schedules, so expected payment isn't a guess. Without contract terms in the system, underpayments look exactly like normal payments. What ships here includes contract metadata per payer and practice; fee schedule linkage. Used day to day by admin, accountant roles, with availability marked available. Open the sample screen on the right, then walk the steps below — or book a demo and put your hand on the same flow with synthetic data.
Admin console · users & practices
| User | Role | Practices | 2FA |
|---|---|---|---|
| T. Brooks | Supervisor | All | |
| K. Ahmed | Biller | Lakeview, Bayside | |
| L. Ortiz | Accountant | All (finance) | off |
What it is
Store payer contract metadata and link it to fee schedules, so expected payment isn't a guess.
The problem it solves
Without contract terms in the system, underpayments look exactly like normal payments.
Process
How it works, step by step
- 1
Record contracts
Add payer contract details per practice.
- 2
Link fee schedules
Connect contracts to the fees they define.
- 3
Compare
Use it alongside posting and reports.
- 4
Keep current
Update as contracts renew.
What's included
Everything below is part of payer contracts today.
- Contract metadata per payer and practice
- Fee schedule linkage
- Supports reporting
- Admin console management
- Tenant-isolated
- Change history
The guardrail
Contract data is visible only inside your company account.
Where it fits: the full rcm loop
This is the whole job of a billing company, end to end. Every step lives in MEDBIX, so nothing falls into the gap between two tools.
- MEDBIX
- Clearinghouse / payer
- Person decides
- 1
Patient & insurance on file
MEDBIXDemographics and coverage, from import, EHR ingest or entry.
- 2
Eligibility (270/271)
Clearinghouse / payerCoverage confirmed through the clearinghouse before billing.
- 3
Charge capture → claim draft
Person decidesEncounter becomes a draft claim in the builder.
- 4
Deterministic scrub
MEDBIXRules run; AI can explain any finding.
- 5
Human review & approve
Person decidesRequired before anything leaves.
Audience
Who uses it
These roles work with this feature day to day. Access always follows what your admin assigns.
Works closely with
Deep dive
What Payer Contracts means in daily ops.
Practical context for Payer Contracts: how teams use it, where it sits in the loop, and what to ask in a demo.
- Tied to how billing work actually splits
- Clear on human vs machine responsibility
- Links into related MEDBIX areas
Practice
Where this shows up on a busy day.
From morning eligibility checks to end-of-day posting, Payer Contracts connects to the queues your team already lives in.
- Morning coverage and claim build
- Midday scrub and approval
- Afternoon denials and patient pay
Control
Keep a person on the send button.
Whatever page you're on, MEDBIX keeps AI in a propose role. Approvals, posting and rule activation stay human.
- Named approvals
- Visible AI proposals
- Immutable audit trail
Next
See Payer Contracts against your volume
Bring your payer mix and the friction you feel today. We'll map it onto sample data in thirty minutes.
- Sample data only
- Your questions drive the agenda
- Written follow-up after
Common questions
Does MEDBIX flag underpayments automatically?
Contracts and fee schedules are stored and linked; we'll show you how teams use them during a demo.
Can accountants view contracts?
Access depends on roles you set.
Do we upload the contract PDF?
We store metadata and fee-schedule links; talk to us about documents.
Want to walk MEDBIX against your real claim mix?
Thirty minutes with sample data. We'll follow one claim through the gate, then talk about your payers, practices and where the rework hurts today.
Notes from the billing floor
Occasional, practical writing on denials, A/R and running a billing company. No spam, unsubscribe any time.