Select a portal solution that works for you and your team
Discover the power of Medlyze Technologies' comprehensive portal solution, designed to simplify price transparency and payer analytics. Our platform provides deep insights into negotiated rates, billing codes, and payer-provider relationships, empowering healthcare organizations to make data-driven decisions with ease. Explore how Medlyze can transform your strategy and optimize financial outcomes.
Starter
$399 / year
per user
Includes
- App: Payer TiC Data Quality Ratings
- App: Provider EIN & NPI lookup
- App: Medicare fee schedule lookup
- App: Billing codes lookup
- App: Taxonomy codes lookup
Advanced
$1,599 / year
$399 per additional user
Includes Starter, plus
- Data: 1 Payer: 1 State: 25 Billing Codes TiC data
- Data option: Hospital price transparency data
- App: Medlyze MentorTM generative AI agent
- App: Market rate benchmarking dashboard
- App: Insurer Market Share
Professional
$8,599 / year
$399 per additional user
Includes Advanced, plus
- Data: BUCA1: 5 States: 50 Billing Codes TiC data (with rate validation2)
- Data option: Hospital price transparency data
- App: Medlyze MentorTM generative AI agent
- App: Insurer Benefits & Pricing lookup
Enterprise
Custom pricing
Custom options:
- Data & APIs: National or regional data, integration with claims volume data, use of analytics APIs
- Custom Apps: Advanced competitor benchmarking with rate validation, Benefit design analysis, Drug price/cost analysis, Unit cost analysis
- Portal: Custom branding enterprise portal
1 BUCA: BCBS, UHC, Cigna, Aetna; 2 Rate validation based on sample of client rates.
Portal screenshots
Data, App and API details
Payer TiC Data Sets
- Normalized, validated, analysis-ready payer Transparency in Coverage data files. Data files include contracted rates and other dimensions published by payers plus curated provider identification information. Validation identifies which rates match client rates.
Advanced Validation
- Customized validation processes and metrics to support validation of peer EIN and TINs, coverage of billing codes by number and client volume by state and payer, or other metrics.
Medlyze Mentor
- Generative AI agent to support ad hoc analysis of large Payer TiC data sets. Ask rate lookup questions by billing code, geography in plain English and get answers in tables and charts in real-time without having to wait hours or days.
Payer TiC Data Quality Ratings
- Proprietary assessment of payer compliance with Transparency in Coverage requirements, including Table of Contents structure, completeness and accuracy and Machine Readable File structure, completeness and accuracy (demo)
Market rates benchmarking
- Benchmarking analysis to determine variation of contracted rates by percentile segmented by Payer, Geography, and Provider type.
Competitor rates benchmarking
- Benchmarking analysis to compare contracted rates to specific selected provider or payer competitors.(demo)
Advanced competitor rates benchmarking
- Benchmarking analysis to compare contracted rates to specific selected provider or payer competitors using additional proprietary data sources such as visit volume and care quality.
Drug prices and costs analysis
- Analysis of drug prices and costs at payer and provider to identify price and cost optimization opportunities.
Unit cost analysis
- Analysis of unit cost of care from payer or plan sponsor perspective for a given provider or provider network.
Provider EIN & NPI lookup
- Normalized and curated provider organization and individual service provider directory with visibility to hierarchical relationships between EIN and NPIs.
Insurer Market Share lookup
- Market share for health insurers at state and county level, with special focus on qualified health plans.
Insurer Design & Pricing lookup
- Normalized and curated health insurer health plan directory including product name, benefit design, pricing for beneficiary types, and market share at a state and county level.
Medicare Fee Schedule lookup
- Look up Professional non-facility and facility fees by locality, Lab fees, Drug fees and DRG fees by NPI.
Billing codes lookup
- Look up various billing codes published by Payers and Hospitals by category. (demo)
Taxonomy codes lookup
- Look up various taxonomy codes used by providers to describe their specialties of focus.
Benefits design comparative analysis
- Comparative analysis of benefit design options based on provider networks and health plan design choices to optimize for total cost of care trend.
Data and Analytics APIs
- Proprietary API tools to streamline access to and integration of Payer and Hospital Transparency in Coverage data and analysis into enterprise data systems.
Custom Portal Branding
- Customize portal views and branding to serve diverse internal audiences across geographies, departments and executive levels.
What our clients are saying.
This is gold!
Now we know we're now leaving money on the table in our managed care contract negotiations.
You helped us see how much untapped opportunity there still is for us to grow.
Representative clients (we respect client's confidentiality):
- Wisconsin metropolitan health system
- Minnesota metropolitan health system
- Ohio metropolitan health system
- National behavioral health platform
- National dialysis services platform
- Medical device and diagnostics manufacturer
- New York multi-specialty provider group
- National physical therapy platform
- National cardiology platform
- Payer integrity services provider
- National endocrinology platform
- National health plan