JSON twin: https://www.healthaidb.com/software/experian-health-contract-manager.json
Experian Health
https://www.experian.com/healthcare/products/audit-payers
https://www.experian.com/healthcare
Experian Health Contract Manager is a revenue-cycle contract management and analysis platform that audits payer contract performance, detects underpayments, and supports appeals to maximize reimbursement.
A commercial SaaS solution for healthcare providers that validates expected vs. actual reimbursements, audits payer compliance with contract terms, models proposed contracts, tracks claims status, provides dashboards/reports and supports appeals and recovery workflows. Delivered with Experian analysts support and integrates with hospital information and claims systems to automate contract-rate application and revenue recovery.
unknown
1996
P0581
2025-09-07
commercial/proprietary
Contact vendor for pricing and deployment options; enterprise contracts and demos available.
enterprise_quote
—
product
1.0
{
"company_name": "Experian Health",
"company_url": "https://www.experian.com/healthcare",
"company_offices": [
"United States",
"United Kingdom",
"Ireland",
"Australia",
"Canada",
"India",
"Germany",
"Brazil",
"Mexico",
"Netherlands"
],
"company_founding": "1996",
"product_url": "https://www.experian.com/healthcare/products/audit-payers",
"categories": [
"administrative",
"revenue-cycle-management",
"payer-auditing",
"contract-management",
"analytics",
"regulatory-compliance"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.experian.com/healthcare",
"https://www.experian.com/healthcare/products/audit-payers",
"https://www.experian.com/content/dam/marketing/na/healthcare/brochures/contract-manager-analysis-hospitals-product-sheet.pdf",
"https://www.experian.com/healthcare/about",
"https://www.experian.com/healthcare/client-services/experian-access-login",
"https://klasresearch.com/review/experian-health-contract-manager-and-analysis/1838",
"https://www.experian.com/blogs/healthcare/contract-manager-improves-revenue-cycle/",
"https://www.experianplc.com/newsroom/press-releases/2024/experian-health-ranked-best-in-klas-in-claims-management--cleari"
],
"summary": "Experian Health Contract Manager is a revenue-cycle contract management and analysis platform that audits payer contract performance, detects underpayments, and supports appeals to maximize reimbursement.",
"description": "A commercial SaaS solution for healthcare providers that validates expected vs. actual reimbursements, audits payer compliance with contract terms, models proposed contracts, tracks claims status, provides dashboards/reports and supports appeals and recovery workflows. Delivered with Experian analysts support and integrates with hospital information and claims systems to automate contract-rate application and revenue recovery.",
"target_users": [
"revenue cycle managers",
"managed care/contracting teams",
"billing and coding specialists",
"revenue integrity analysts",
"finance teams",
"claims operations staff",
"health system administrators"
],
"specialties": [],
"regions_available": [
"United States",
"Canada",
"United Kingdom",
"Australia",
"India",
"Ireland",
"New Zealand",
"South Africa",
"Germany",
"France"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing and deployment options; enterprise contracts and demos available.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Continuous payer contract auditing",
"Validate reimbursement accuracy (expected vs actual allowed amounts)",
"Recover underpayments",
"Manage and execute appeals",
"Monitor claim status",
"Evaluate contract results and performance",
"Configurable dashboards and interactive reports (Power Reporting)",
"Automated contract term, fee schedule and policy management (maintained by contract analysts)",
"Workflow simplification and scalability for medical groups and health systems",
"Payer compliance monitoring"
],
"optional_modules": [
"Contract Analysis"
],
"integrations": [
"Claim Scrubber",
"ClaimSource",
"Payer Alerts",
"OneSource",
"Order Manager",
"Experian Health product suite / other hospital information systems (unnamed)"
],
"data_standards": [],
"api_available": "unknown",
"system_requirements": "",
"compliance": [
"HIPAA"
],
"certifications": [],
"security_features": [],
"privacy_features": [],
"data_residency": "",
"customers": [
"Emory Healthcare",
"Arkansas Health (case study)",
"UCLA (mentioned in product blog)",
"State of Franklin (case study)"
],
"user_reviews": [
"Detecting underpayments is one thing the system does well.",
"The reporting in the system just isn't easy.",
"Experian Health has done a pretty good job with the system.",
"They delivered some things we needed; reporting and ease of use could improve.",
"We meet with our individual representative — support relationship is good."
],
"ratings": [
"Best in KLAS — Revenue Cycle: Contract Management (2024)",
"Best in KLAS — Revenue Cycle: Contract Management (2025)",
"KLAS vendor page commentary and user scores (KLAS Research)"
],
"support_channels": [
"phone",
"email",
"ticketing",
"dedicated account representative"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite"
],
"release_year": "",
"integration_partners": [],
"id": "P0581",
"slug": "experian-health-contract-manager",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/experian-health-contract-manager.json"
}
}