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Using IRP’s award-winning coding software, you will not only meet all nationally-accepted coding guidelines, you can quickly find the correct code for each case.

Innovative solutions. World class service.

Innovative Resources for Payors (IRP) provides solutions and services for insurance carriers, third-party administrators, HMOs, PPOs, self-insured employers and other payor organizations. With more than 250 clients and more than 15 years of experience in the managed care marketplace, the people and systems from IRP help payors achieve unprecedented claims automation. As an independent, third party technology provider, we’ll listen to your needs, understand your objectives, and work with you to deliver a custom comprehensive solution backed by superb customer service.

Contract Modeling

Eliminate slow, error-prone processes to establish workflows that generate savings while locating and managing your contract inventory. Our powerful online modeling and analysis tools, plus our respected outsourced contract modeling services help you determine the financial impact of proposed rate changes.

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Strategic Contracting

The Strategic Contracting module from IRP delivers valuable charge, cost and mark-up information. Our Web-based application using the latest Outpatient Prospective Payment System (OPPS) data supplied by CMS, compares provider pricing from a database of more than 5,000 providers.

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Groupers and Pricers

More than half of America's managed care payors use our Medicare, Medicaid and other customized groupers and pricers for accurate, fast solutions that perform on more than 20 hardware platforms.

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