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Payer / Provider Participation Agreement review

Managed-care participating provider agreement, reviewed for the fee schedule, claims/appeals, and prompt-pay terms.

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What it checks

Fee schedule attached and amendment notice

Critical · HC-121

Clean-claim definition and prompt-pay deadline

Warning · HC-122

Member hold-harmless and balance-billing ban

Critical · HC-123

Credentialing and re-credentialing terms

Warning · HC-124

Utilization review and appeal rights

Warning · HC-125

Termination notice and continuity of care

Warning · HC-126

Every run also applies 113 general checks that belong to any agreement: structure, parties and signatures, defined terms, cross-references, dates, amounts, and one-sided terms.

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How it works

  1. Open vaulytica.com — no account, nothing to install.
  2. Drop your PDF or DOCX. The document type is detected and only the checks that belong to it run, inside your browser tab.
  3. Get a Word report in which every finding quotes the clause and cites the rule and source behind it — one of 1,825 checks across 268 document types.
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