Whether a TPA, process outsourcer (BPO), re-pricer or advisor Context can support your needs.  We have a full line of cloud based, SaaS services and over 100 data products focused on healthcare pricing, compliance and Payment Integrity.

Software and Data to Simplify Your Business

Outsourcing is a key part of the healthcare market in today’s world.  Third party service providers are constantly pushed to provide higher value at lower costs.  At the same time you are expected to meet or exceed regulatory compliance needs that constantly change.  Context solutions relieve third-party service providers of significant compliance and data management headaches. 

Context’s DataPricing and Payment Integrity solutions are a one-stop shop for compliance functionality you can add to your product offerings.  We can provide healthcare master, UCR and Medicare price data.

Through our cloud based, SaaS Payment Integrity Platform we can provide real-time access to:

  • Pricing leveraging UCR and all 16 Medicare Prospective Payment Systems to facilitate price negotiations and integrity checks
  • UCR for Medicare gap pricing
  • Advanced Medicare and Commercial analytics logic to assess payment compliance at a granular level
  • Fraud, waste and abuse (FWA) detection at the member and provider levels