Claims Repricing

Vee Healthtek provides preferred payer organization (PPO) repricing solutions to health plans, third-party administrators (TPAs), and other cost containment companies. Our innovative PPO repricing solutions can reduce our clients’ overall costs by up to about 50% and increase turnaround time with exceptional quality. Our repricing solutions are proven to realize significant savings, reduce healthcare claims costs, and increase client satisfaction.

Our PPO Repricing Solution Features:

• Claims repricing regardless of whether the client’s repricing department uses a PPO's website, a custom application, or a PPO’s spreadsheet fee schedules
• Analysis and correction of system failures to select the appropriate provider for a claim
• Review of claims submitted by non-contracted providers
• Routing of paper claims and electronic claims to the appropriate PPO for repricing
• Generation of client-specific reports
• Customizable web portal that auto-reprices any submitted claims with their own fee schedules