Healthcare · Contract Decisioning
F20 Healthcare Payor
Deploying an AI-powered system to optimize contract decisioning for a health insurer
Impact
Deployed in production
$16M
Annual savings
600k+
Contracts made queryable
The challenge
Provider network teams manually research contract terms, termination clauses, and renewal requirements one-by-one when evaluating provider performance. This manual process across dozens of tools and departments fragments provider intelligence, delays action on underperforming providers, and limits the team's ability to capture value at scale.
The solution
Distyl built an AI-workbench that converts static provider contracts into structured, searchable data, enabling instant access to rate terms, reimbursement methodologies, clauses, and amendments. This single source of truth accelerates decision-making, reduces manual effort, and improves contract governance. It helps identify cost leakage, supports re-negotiation strategies, and links reimbursement logic to performance data for deeper insights.
AI capabilities
- 01
Contract intelligence
AI-driven extraction of contract terms, rate schedule details, and renewal / termination clauses
- 02
Multi-document lineage
Aggregation of current state for all terms, consolidated across original agreements, amendments and addenda
- 03
Scaling domain expertise
SMEs own the definitions of contract terms and extraction logic, with AI-assisted feedback loops for continuous improvement
- 04
Opportunity filtering
AI-augmented provider stratification based on contract terms and actionability