We know time is money, and that's why our staff works diligently to manage your claims fast. Our proven sustainable and cost effective means of processing claims via EDI allow a turn-around time of less than one hour per claim without compromising quality or service.
Our repricing process is one of the most efficient and accurate in the industry. We have a 99% repricing accuracy rate thanks to:
- Our built-in audit processes
- Multiple levels of system and quality control measures
- Our Information Specialist and Billing Experts have over 25 years of combined service experience.
VyStream repricing claim solutions offer the kind of flexibility that can integrate with existing systems or we can provide a peerless level of customization.
Our 25+ years of claims repricing experience allows us to:
- Accommodate any specialty codes, exceptions and procedures
- Batch process to reprice large amounts of claims within 24 hours (in most cases)
- Use real-time technology such as EDI transmission, web services, and FTP push and pull
- Exceed HIPAA minimum requirements to protect confidential information and our network from viruses and unauthorized use
- Process paper contracts manually by keystroke and/or upload an electronic file to automatically process
Managed care contracts are getting increasingly more complex. Adjudication of complex contract terms requires these powerful solutions from VyStream:
- Provider file loading
- Sophisticated contract load capabilities
- Enrollment verification
- Import/Export EDI formats (ANSI HCFA 837 and UB04)
- 24/7 access to claim status and repriced claims