AI eSignature & Contract Lifecycle Management

Contracts Done. Not Just Signed.

AI-powered eSignature, negotiation, and full contract lifecycle management — built exclusively for healthcare payers, providers, and senior living.

Trusted by 1100+ healthcare and senior living locations

Contract Lifecycle Management (CLM) workflows shouldn't be this painful or this expensive.

Legacy eSignature tools were built before AI existed. You’re 20 years old legacy technology with an “AI sticker”.

You're Paying Per User

Every envelope sent is money out the door. At scale, per-send pricing turns a simple signing tool into one of your largest SaaS line items – for something that should be a utility.

HIPAA Compliance Costs Extra

Healthcare organizations pay a premium just to make their e-signature tool compliant. It’s a feature that should be standard – not add-on.

No Intelligence, Just a Digital Pen

Legacy tools collect signatures. That’s it. No AI contract analysis, no smart fields, no workflow automation. Just a PDF with boxes to click.

Contracts Die After Signing

Other tools stop at the signature. No one tracks renewals, monitors obligations, or flags expiring terms — leaving compliance gaps and missed revenue.

Negotiation Is a Black Hole

Back-and-forth redlines happen in email threads, random Word docs, and shared drives nobody can find. Every round is a liability.

AI-Native Contract Intelligence

Go beyond collecting signatures. skySign uses AI trained on healthcare contracts to automatically extract obligations, flag risk clauses, and surface non-standard terms — without manual configuration or professional services.

Healthcare-First, Not Healthcare-Bolted-On

Built exclusively for healthcare payers, providers, and senior living from day one — with pre-configured templates for BAAs, MSAs, and admission agreements, so your team spends less time setting up and more time closing.

skySign™: The AI-Powered Agreement Platform

skySign™ handles the full agreement or contract lifecycle (CLM) – creation, routing, signing, analysis, and storage – powered by skyAgent™ to do the work your team currently does manually.

AI builds the document for you

Describe what you need. AI builds the document from pre-approved clause libraries, pre-fills fields with EHR/CRM data, and flags missing or non-compliant terms before you send.

Smart routing to every signer

AI routes to the right signers in the right order — residents, families, physicians, legal — sends automated reminders, and escalates overdue agreements without manual intervention.

Negotiate before anyone signs

Open a redline round, let counterparties mark up directly in a secure no-login portal, and track every version and counter-proposal in one place — AI suggests safer alternative language as terms evolve.

Understands what was signed

After signing, AI extracts key terms, obligation dates, renewal windows, and risk clauses — storing every agreement in a searchable, auditable repository accessible to your whole team.

50%

Faster Agreement Turnaround

Close deals and move-ins in hours, not days.

-80% Signing Delays

< 24 hrs

Average Signing Turnaround

Most agreements fully signed and stored within one business day.

From Days to Hours

100%

Contracts Searchable

Every signed agreement automatically indexed, tagged, and stored in a searchable vault.

Zero Missed Renewals

How skySign™ works

Document Builder

Describe what you need — a payer network agreement, a provider MSA, or a senior living admission contract — and AI drafts it from pre-approved clause libraries, auto-fills known fields, and flags compliance gaps before anyone signs.

Signing Workflows

Patients, members, residents, families, and clinical staff sign from any device — no account needed. Guided, accessible, and completed in minutes, not days.

Supports remote, in-person, and delegated signing — scheduled send, SMS + email reminders, witness & POA support, PIN-protected links, signing groups, and AI-placed signature fields.

Contract Routing Engine

AI routes each agreement to the right signers in the right order — residents, families, physicians, legal — then sends reminders and escalations automatically until every signature is captured.

Before a contract ever reaches a counterparty, route it through legal, finance, and exec approval — with conditional rules, delegation, and automatic escalation. Build approval chains in a no-code visual workflow designer.

Contract Lifecycle Management

AI Contract Repository — Every signed agreement auto-indexed, tagged, and stored in a searchable vault with role-based access
Obligation & Renewal Tracking — AI monitors expiration dates, renewal windows, and key obligations — alerting your team before deadlines pass
AI Contract Analysis — Automatically surfaces risk clauses, non-standard terms, and compliance flags across your entire contract portfolio
Healthcare-Specific Intelligence — Pre-trained on BAAs, MSAs, admission agreements, and vendor contracts common in healthcare and senior living
Amendments & Restatements — Amendments route through their own approval and signing flow, then merge back into the contract of record with a clean restated PDF. Terminations track notice periods, closeout tasks, and surviving obligations.
Clause Library & Governance — Build from an approved clause library and let AI flag the moment a contract drifts from your standard language. Push clause updates across every active agreement in one action.
skyAgent™ AI Intelligence — Checks contracts against HIPAA, GDPR, and SOC 2 rules automatically, summarizes any agreement in plain language for signers, answers natural-language questions across your repository, and flags suspicious signing behavior before it becomes a compliance problem.

Why Customers Choose skySign™

Document workflows involve sensitive contracts, personal information, and compliance obligations. skySign™ is built to handle it all — securely, privately, and by the book — for payers, providers, and senior living alike.

Contract Lifecycle Management (CLM)

Full-lifecycle CLM with AI extraction, renewal tracking, searchable repository, and obligation alerts — purpose-built for healthcare contracts.

HITRUST r2 Certified

skySign is HITRUST r2 certified — the gold standard for healthcare data security. Your contracts and patient-adjacent documents are protected to the highest regulatory standard in the industry.

eSignature Workflows

Send, route, and collect signatures across multi-party agreements with configurable signing order, automated reminders, and role-based access — all within a HIPAA-compliant environment. Supports remote, in-person, and delegated signing — scheduled send, SMS + email reminders, witness & POA support, PIN-protected links, signing groups, and AI-placed signature fields.

Court-Defensible, Cryptographically Sealed

Every signature is a PAdES/PKCS#7 digital signature with an RFC-3161 trusted timestamp — not just a checkbox and a log line. Each completed agreement ships with a tamper-evident audit certificate: hash-chained event trail, signer identity, IP, geolocation, and timestamps that hold up in court.

Built to Replace Legacy Tools

Flat-rate, unlimited agreements instead of per-user or per-envelope fees. HIPAA and HITRUST included as standard, never a paid add-on. AI-native contract intelligence instead of just a digital pen — with renewal and obligation tracking that keeps contracts working long after they’re signed. Connect your DocuSign account and import existing envelopes, documents, and signing history — no rip-and-replace disruption. Upload a CSV and send thousands of personalized agreements in a single bulk job; at a flat rate, scale costs you nothing.

Verify Who's Signing

Confirm signer identity before anyone touches a document — SMS or email one-time codes, phone-call verification, knowledge-based authentication (KBA), or photo-ID check. Right-sized assurance for consent forms, BAAs, and high-stakes agreements.

See Where Time and Risk Live

Cycle-time analytics pinpoint bottlenecks across drafting, approval, and signing. Build custom reports across your entire contract portfolio and export to Excel in a click.

FAQ

What makes skySign™ different from other eSignature tools?

skySign is built exclusively for healthcare and senior living. HIPAA support and HITRUST r2 certification are included as standard — never a paid add-on — alongside multi-party routing, full audit trails, and AI contract intelligence, all at a flat rate instead of per-envelope pricing.

Can skySign integrate with my EHR or CRM platform?

Yes – skySign connects via skyStudio integrations to EHRs, CRM systems, and operational systems.

Is signing secure and legally binding?

Yes. skySign uses PAdES/PKCS#7 cryptographic digital signatures with RFC-3161 trusted timestamps — not just a checkbox audit log. Each completed agreement includes a tamper-evident audit certificate with a hash-chained event trail, signer IP, and geolocation. Signatures are ESIGN and UETA compliant.

How long does implementation take?

Most customers go live in days, not weeks, with configurable templates.

What types of contracts does skySign manage?

skySign handles the full range of healthcare agreements — admission and residency contracts, Business Associate Agreements (BAAs), vendor MSAs, staffing agreements, and more. Every document type gets the same AI-powered analysis and audit trail.

How does skySign track contract renewals and obligations?

skySign’s CLM engine automatically monitors expiration dates, renewal windows, and key obligations across your entire contract portfolio. Your team gets proactive alerts before critical deadlines — so nothing expires by accident.

How is skySign different from Conga or DocuSign?

Legacy platforms charge per user or per envelope and treat HIPAA as a paid add-on. skySign is flat-rate, HITRUST r2 certified out of the box, and manages the full contract lifecycle — including pre-signature negotiation and redlining, amendment and restatement workflows, and post-signing obligation tracking. You can also import your existing DocuSign envelope history directly, so there’s no rip-and-replace disruption.

Does skySign work for both payers and providers?

Yes. skySign supports payer workflows — plan design, network and rebate contracts, and member notices — as well as provider workflows including physician, vendor, and payer agreements, all on one platform.

Is skySign built for senior living?

Yes. skySign includes pre-configured templates for admission agreements, resident and family consents, and care contracts, with accessible multi-party signing and automated renewal tracking purpose-built for senior living and skilled nursing.

Can skySign handle contract negotiations and redlining?

Yes. skySign includes a full negotiation module: open redline rounds, share a secure no-login counterparty portal, and track every version, comment, and counter-proposal in one timeline. AI suggests safer alternative language as terms change. Stale negotiations auto-escalate and close on your defined schedule — no more redlines lost in email threads.

What identity verification options are available for signers?

skySign supports SMS one-time codes, email verification codes, phone-call verification, knowledge-based authentication (KBA), and photo-ID document checks. You can configure the required method per document type — light-touch for routine forms, stronger assurance for BAAs and high-stakes agreements.

How does skySign handle contract amendments and terminations?

Amendments create their own approval and signing workflow, then automatically merge back into the parent contract of record with a clean restated PDF. Terminations track notice periods, closeout tasks, and which obligations survive — so your team always knows where every contract stands.

Can I migrate from DocuSign without losing my history?

Yes. Connect your DocuSign account via OAuth and import existing envelopes, documents, and signing history. You can also pull source documents directly from SharePoint. There’s no rip-and-replace — your existing record of agreements stays intact from day one.

Does skySign support bulk sending?

Yes. Upload a CSV, map fields to rows, and dispatch thousands of personalized agreements in a single bulk job. Per-row error reporting catches issues before they send. At skySign’s flat rate, bulk volume costs you nothing extra.

Ready to Replace Your Legacy eSignature Tool?

skySign™ gives you unlimited agreements, built-in HIPAA, full contract lifecycle management, and AI-native intelligence — all at a flat monthly rate. No per-send fees. No compliance add-ons. No contracts that die after signing.

Negotiate, redline, amend, and terminate — all in the same platform where you sign. Bring your DocuSign history with you on day one.

Industries We Serve