Payer Services

Payers play a pivotal role in improving healthcare by coordinating care and enabling providers to deliver exceptional care. Vee Healthtek offers core and ancillary support services tailored to meet the diverse needs of payers.


Efficiencies, outcomes, and growth drive business imperatives for payers. A complex and changing healthcare environment challenges those goals. Managing high-risk and rising-risk patients' care continuum, automation, and reducing rates of human errors are key to reigning in expenses. Vee Healthtek has been delivering industry-leading outcomes for payers that meet these exact needs. With the move toward value-based payment structures, payers are focusing on developing new business models, enhancing IT capabilities, building a better care coordination infrastructure, and lowering administrative costs.

We offer core and ancillary business process management (BPM) and knowledge process management (KPM) support services across the payer spectrum: claims management, member management, provider network data management, contract management, finance, and accounting.

Our IT services and consulting speed time to market, lower ownership costs and increase ownership values for our payer clients. Our analytics solutions have helped our payer clients translate data into knowledge and provide meaningful insights for actionable business decisions. We deploy data mining, statistics, modeling, machine learning, and artificial intelligence to make predictions about likely business outcomes that help clients sustain their competitive advantage.

Our payer talent team includes BPM, KPM, subject matter experts, former employees of payer organizations, IT professionals, data scientists, and analytical thinkers. With Vee Healthtek, your company will gain a partner that aligns with your business needs, goals, and culture.

Medical Coding Services

With an ever-changing healthcare landscape and regulatory updates that occur almost daily, it is imperative to stay on top of all industry changes in order to maximize revenue and maintain compliance. Our AAPC and AHIMA certified coders are up-to-date with the latest industry changes, whether it is ICD10-CM, ICD-10-PCS, CPT, HCPCS or others, our deep and broad experience provides our clients with a team of medical coding experts who ensure that our clients are properly maximizing their revenue in a compliant and accurate fashion. Utilizing Vee Healthtek's thorough processes built upon the highest standards, you can expect comprehensive, efficient, and end-to-end risk adjustment coding services that will positively impact your healthcare organization.

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Claims Management

Vee Healthtek specializes in process improvement to enhance revenue and streamline operations. For payers, our claims BPM and KPM services lead to significant reductions in cost and TAT (turnaround time) through integrated process redesign and technological innovations. Our paper to EDI conversion, combined with repricing and our rule-based auto adjudication support services, help payer clients further cut down on costs.

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Member Management

Our member enrollment services reduce the administrative burden and cost to support member enrollment processes.

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Provider Network Data Management

Our provider network data management process mitigates increased labor costs due to the enhanced complexity of provider payment arrangements

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Value Added Services

Vee Healthtek utilizes our decades of experience in the payer market to streamline operations and maximize revenue. Our value added services offer additional support to ensure that all aspects of your business operations are functioning smoothly and efficiently. From plan building to customer call support, and to the analytical insights that help your business function, Vee Healthtek will work with your teams to ensure success.

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Utilization Management

Vee Healthtek’s utilization management service offers a comprehensive solution for payers in today’s complex healthcare landscape. By maximizing resources, optimizing patient outcomes, and reducing costs through effective utilization management, we enhance payers’ decision-making processes to ensure patients receive high-quality care.

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