VyStream - was established in Phoenix, Arizona in 1988 as a "one-stop-shop" medical billing repricing clearinghouse. VyStream utilizes its own proprietary repricing system that is maintained internally. Since its inception over 25 years ago, VyStream has expanded its services to include Medicare-Like Rates Repricing, and Chiropractic Cost Containment. VyStream has the experience and our service is impeccable.
Claim Repricing
Our repricing process is one of the most efficient and accurate in the industry. We have a 99% accuracy rate thanks to our multiple levels of system and quality control measures that are built into our process.
Purchased/Referred Care
Vystream offers a comprehensive approach to managing 638 Purchased/Referred Care (PRC) claims and payment processes.
Clearinghouse
VyStream's clearinghouse simplifies the process and helps you manage the growing mountains of medical claim information -- and saves you money in the process.
Claims Management
Many value-added features provide a new level of claim intelligence for revenue cycle management.
Medicare-Like Rates Repricing
VyStream offers a comprehensive approach to managing the MLR process.
EDI Connectivity
Every company has unique needs based on how they conduct business. Our 25+ years' experience of EDI claims experience allows us to handle any special requests with ease.
Fully HIPAA Compliant
Since the Health Insurance Portability and Accountability Act of 1996 (HIPAA) was enacted, organizations in the healthcare industry have been required to protect and maintain Personally Identifiable Information (PHI). VyStream’s proprietary systems have been built from the ground up using the latest technologies and practices to ensure this information remains safe and is handled in accordance with the Health Information Technology for Economic and Clinical Health Act (HITECH Act).
Our systems are constantly being updated and scanned for vulnerabilities, while our personnel are trained from day one for the secure handling of PHI by using either our own ePHI Secure Email system or our client’s secure mail services. Physical security including key card access to areas containing this material, certified shredding services for hard copy, and routine walk-throughs for PHI exposure are all part of the standard operating environment at VyStream. VyStream has connections with the largest Electronic Data Interchange (EDI) clearinghouses and requires encryption for all healthcare related files to keep your data protected from start to finish.

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