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Upgrade to ProYou are a Provider Network Manager at Elevance Health. You need to assess each provider's performance across two dimensions: claims volume and payment efficiency from the claims table, and contractual coverage from the provider contracts table. Based on these combined metrics, each provider should be classified into a network tier that guides future contracting decisions.
You are a Provider Network Manager at Elevance Health. You need to assess each provider's performance across two dimensions: claims volume and payment efficiency from the claims table, and contractual coverage from the provider contracts table. Based on these combined metrics, each provider should be classified into a network tier that guides future contracting decisions.