Case Study: Leading Health Plan Company achieves 50% faster provider onboarding and 80% reduction in data entry with Newgen Software's Provider Network Management

Streamlining Provider Contracting with Newgen's Provider Network Management

A leading U.S. health plan serving about 3.8 million members and partnering with 90,000+ physicians across Medicaid and Medicare lines faced operational strain from paper-based provider contracting. Manual hand-offs, poor process visibility, security and compliance gaps, lengthy credentialing and onboarding cycles, and high administrative costs were slowing provider activation and increasing risk.

Using Newgen’s Provider Contract Management on its Intelligent BPM platform, the plan automated data capture and validation, created a single-entry interface, enabled parallel workflows and centralized document archiving, and added real-time reporting and audit trails. Outcomes included an 80% reduction in data-entry time, initiation of ~400,000 cases, onboarding of 65,000 providers, a 50% cut in turnaround time, credentialing in 45–70 days, 20–40% lower operational costs, and 20–50% improvements in approvals and monitoring.