Medicare-Like Rates (MLR)

VyStream provides Medicare-Like Rates (MLR) for eligible in-patient and out-patient hospital claims in the commercial market.  Managing regulatory changes and updated rates for Medicare referenced-based pricing can be difficult and expensive on your own.  VyStream has the technology and experience for you to outsource this task with proven accuracy and savings.

VyStream offers a comprehensive approach to managing the MLR process:

  • Proprietary, state of the art auto-adjudication system
  • MLR discounts for all eligible claims
  • EDI transmission in accordance with HIPAA standards
  • ICD-10 compliance
  • Quality control review of claims and contracts
  • Data Imaging
  • Supreme Customer Service
  • Customized Reports

We'll help you get on
the right course
faster than you think.

Operational in 30 days or less
Cutting Edge Technology
HIPAA Compliant