Payers and TPAs setup their claims engines to auto-adjudicate claims received from providers. During auto-adjudication, the claims engine verifies member/patient eligibility and provider information on a claim using the client’s database. Any claims that do not match are exported to the manual adjudication queue. However, manual adjudication results in a fluctuation of quality, as manual adjudication can never be as efficient or accurate as the auto-adjudication process. Vee Healthtek provides a solution to this problem by matching member and provider information on claims against the client’s database before the claim is even loaded into the system.
All these features of our pre-adjudication support result in better quality, a faster turnaround time, and a reduction in manual labor, saving you time and money, time, and a reduction in manual labor, saving you time and money.