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• Insurance Claims Processing
  • HCFA 1500 / CMS 1500
  • UB92/UB04
  • Dental Claims
  • Miscellaneous
  • Correspondence
  • Enrollment Forms
  • Vision Forms
• Claims Adjudication Services
• PPO Repricing Services
• Forms Processing Services
• Insurance Fraud Detection
• EDI Integration Services
• Data Entry Services

PPO Repricing Services:

VeeInsure is a market leader providing comprehensive back office services for PPO networks in the USA. VeeInsure also offers Forms Processing and Fraud Detection Services.

VeeInsure has a highly experienced processing team providing services for about 30 PPO networks like Beech Street, PHCS, MultiPlan, Dentemax etc., through our TPA clients.

VeeInsure has the capability to provide all types of PPO process solutions to TPAs, PPOs and other cost containment companies to reduce their overall cost up to about 50% and increase Turn Around Time with exceptional quality.

VeeInsure offers several options for your repricing needs:

• VeeInsure can manually reprice these claims for you, independent of whether your repricing department uses the PPO's web-site, a custom application or spreadsheet fee schedules supplied by the PPO.



• If there is an auto repricing system already in place for selected PPO's, VeeInsure would verify the reasons for the non-repriced claims that are rejected from the auto repricing system. VeeInsure would reprice these claims, if sufficient details are found based on the business rules/requirements. VeeInsure would correct the information - in most cases the system would fail to select the appropriate provider for the claim, which the VeeInsure repricing team would analyze, rectify and reprice the claim.
  If the system is correct, VeeInsure would send this information, back to the TPAs with the supporting reason (Non-Par, Termed, etc.)



• VeeInsure can route claims that have originated as paper forms or electronic claims to the appropriate PPO. The PPO reprices the claim and either sends the claim directly to the payer or back to VeeInsure for further processing.

VeeInsure offers key provider table maintenance using state-of-the-art web enabled application software, that easily handles a wide range of pricing options and accommodates complex inter-relationships within networks. Claims are run through our web-based repricing system where they are systematically repriced, based on negotiated rates by our clients. Daily claims repricing reports can be run and electronically transmitted to our clients or can be sent directly to the clients' customers & providers.

Try the Vee experience.!! Its worth it. Please call us on 1-312-373-9346 or email at