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These tabs hold the agreements that let you bill: business contracts, payer agreements, Medicare Advantage plans, and the enrolment windows you have to apply within.

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Contracts

Business contracts with parties, date ranges, values, and lifecycle status. Columns: Name · Type · Party · Start · End · Value · Status General business contracts — leases, service agreements, subcontracts.

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Payer Contracts

Managed care and payer contracts with terms, dates, and renewal status. Columns: Payer · Contract # · Type · Start · End · Status
A lapsed payer contract stops payment for services you may still be delivering. The member’s authorization can be perfectly valid while the contract behind it has expired. Review End dates monthly.
The payers themselves are maintained in Care network. This tab holds the commercial agreement behind each one — the Contract ID on the payer record links them.

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MA D-SNP Plans

Medicare Advantage Dual Special Needs Plan contracts and enrollment data. Columns: Plan Name · Contract # · PBP · Enrollment · Status D-SNP plans serve members eligible for both Medicare and Medicaid. The contract and PBP combination identifies the specific plan for billing.

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Open Enrollment

Payer open enrollment periods with application deadlines and submission status. Columns: Payer · Program · Opens · Closes · Status
Closes is a hard deadline. Miss a payer’s open enrolment window and you generally wait until the next cycle — often a year — before you can contract with them. Track upcoming windows on the compliance calendar.

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Renewing a payer contract

1

Filter on End within 120 days

Payer renewals take longer than licence renewals and often involve negotiation.
2

Confirm prerequisites

Payers commonly require current licences, insurance, and accreditation evidence.
3

Submit the renewal

Update status as it progresses.
4

Record the new terms

Update Contract #, Start, and End.
5

Confirm rates in billing

Renegotiated rates affect claim amounts. Check the bill code configuration in EVV matching.

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Applying during open enrolment

1

Track upcoming windows

Monitor Opens and Closes by payer and programme.
2

Prepare the application ahead of the window

Assemble licences, insurance, and accreditation evidence before it opens.
3

Submit well before Closes

Late submissions are not accepted.
4

Record the outcome

A successful application becomes a payer contract.

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Troubleshooting

Care network

The payer records these contracts sit behind.

Billing

Claims submitted under these contracts.