Payor

Your problems:
  • Rising costs for processing services
  • Staff turnover, training costs
  • Lack of qualified resources
  • Errors, backlogs, and staff headaches
  • Distractions from pursuing your business goals
  • Increasing need for IT capital expenditures
  • Customer dissatisfaction

The Vision Solution:

Outsource your transaction processing for claims administration, adjudication and membership services and reap big savings through our low cost infrastructure, economies of scale, improved business processes, quality assurances, and world-class technology solutions for workflow and knowledge management. Let Vision do it for you and cut your costs at the same time!

What makes Vision’s solution unique? Our vast experience in the Healthcare Provider Claims Billing and Management processes puts us on the cutting edge of process management—and gives you the edge over your competition.

Vision Services:

  • Claims entry/vertexing
  • Claims adjudication (includes repricing, eligibility and coverage verification, provider verification, diagnosis and treatment reconciliation through CPT and diagnosis codes, etc.,.)
  • Eligibility
  • Membership services including benefit info, adds, changes
  • Provider updates, adds and changes
  • Provider credentialing preparatory work
  • Inbound customer care for members, providers and agents

 

Typical Payer Processes
(Group Plans, TPA, PPO, HMO)


Look what Vision can do for you

  • Easy transition. Client systems and processes transferred with minimal disruption or change to the existing procedures.
  • Compliance. Our HIPAA complaint processes along with encrypted connectivity infrastructure and our experience in privacy and data security ensures compliance with all state and federal regulations.
  • Experience. Our unique experience in providing end-to-end billing services for providers and knowledge of multiple specialties and multiple state regulations, and health plans, gives up a leg-up in adjudicating claims.
  • Confidentiality. Sanctity of client and patient data is scrupulously maintained.
  • Quality and performance guarantees. We provide service level guarantees for financial and transaction accuracy.
  • Reference-able Clients. Our current clients are willing to share their success stories.
 
   
   
 
Contact
Name :
Company :
Email :
Phone :
   

 
© 1996-2007 Perot Systems. All rights reserved.