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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 123 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, or paste the text. 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 1,946 checks across 286 document types.
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