2023 Payor Data Survey Question Title * 1. Portfolio Company Name Question Title * 2. Primary Line of Business Commercial Medicare Advantage Managed Medicaid Traditional Medicare State Medicaid Self Pay Question Title * 3. How many payor related IDs are loaded in your billing/practice management system? Question Title * 4. How many contracts does your platform have with payors (estimate the number of contract documents you should have)? For example: Anthem GA for one location (1) and Anthem GA for another location (1), BCBSTX (1), BCBSLA (1), UCH West (1), UHC Central (1) = 6. If you have separate paper for each product, count them individually. For example, BCBS MA if contracted separately from BCBS Commercial is 2 documents. Please provide your best estimate. Question Title * 5. What percentage of current contract documents with fee schedules does your platform have on file? Question Title * 6. Which financial classes do you use to aggregate current payor reporting - please list all (e.g. commercial, medicare advantage, managed medicaid, traditional medicaid, etc.)? Question Title * 7. How many TINs are across the platform? Question Title * 8. How many states does your platform cover? Question Title * 9. List states. Question Title * 10. How many locations does your platform have, across all states? Question Title * 11. How many acquisitions and/or de novos are targeted in 2023? Question Title * 12. Please list all contracted service lines (e.g. Orthopedics, Radiology, PT). Question Title * 13. How many providers require credentialing across your platform? Please provide best estimate. Question Title * 14. How many delegated agreements (e.g. where practice has delegated contracting and/or credentialing responsibility to another party) does platform have with IPAs (Independent Physician Associations), ACOs (Accountable Care Organizations) or CINs (Clinically Integrated Networks)? Question Title * 15. List (by name) any delegated parties such as IPAs, ACOs, CINs, other networks. Question Title * 16. How many value-based contracts are active across your platform? Question Title * 17. If participating in performance-based and/or incentive-based contracts, please list what is measured to qualify for incentives. Question Title * 18. Name of Practice Management System used for billing? Question Title * 19. Name of credentialing software or application used, if any? Question Title * 20. Additional notes or comments? Question Title * 21. Completed by? Done
