Resources

Payer Reports: Exploring Healthcare Data Packages

With HexIQ you can download healthcare data packages for every negotiated rate, for every provider, in every setting, for every payer. To check out how this works, you can download sample snapshot reports, or book a demo to see it in action. 

Pulse Medical Platform

Now that the Transparency in Coverage Rule has gone into effect, you can use HexIQ’s Pulse Medical Platform to empower your practice in contract negotiations with payers by referencing specific reimbursement rate data. Not only that, you can monitor changes to your benchmarked ranking for negotiated rates in real time. These reports enable you to determine which plans you should consider participating in by comparing rates for your top billing codes. 

Every Negotiated Rate
Every Provider
Every Setting 
Every Payer

Custom Data Products

A snapshot negotiated rate report is downloadable in CSV format with up to 100NPIs and 50 codes for just $100 per payer. Alternatively, you can access unlimited negotiated rates starting at $5,000 per year per payer. Unlimited reports have up-to-date negotiated rates for you practices, providers, payers, and codes of interest. You can find similar providers and practices by payer mix, specialty, and location, and browse an interactive map of provider hotspots. 

Market Analysis

You can combine Transparency in Coverage negotiated rate data with the power of demographic, ethnographic, social listening, or first-party data to identify industry trends, top performers in the market, and socioeconomic insights that can be used to inform decisions around market entry, investment, and business climate. 

If You have a custom data need, our data science team is here to help! Whether you’re looking for reimbursement volumes, rates, or social characteristics of medical communities, we’ve got you covered. 

Need inspiration?

Here are some examples of custom reports we can create for your specific use cases:

Cost of Comparison reports between competitive health plans
Comparison of private payer and Medicare/Medicaid reimbursement for specific reimbursement codes
Out -of-Network reimbursement rates by health plan

Ready to see what we can do for you?

Schedule A Demo

Discover the transformative potential of Pulse for your practice.