VeeInsure is a market leader providing comprehensive back office services for PPO networks in the USA.
VeeInsure has highly experienced processing team providing services for about 30 PPO networks like Beech Street, PHCS, MultiPlan, Dentemax etc., through our TPA clients.
VeeInsure has capability to provide all types of PPO process solutions to TPAs, PPO's and other cost containment companies to reduce their overall cost up to about 50% and increase Turn Around Time with exceptional quality.
Outsource this manual labor intensive PPO Repricing process to VeeInsure!
VeeInsure offers several options for your repricing needs:
VeeInsure can manually reprice these claims for you. Whether your repricing department uses the PPO's web-site, custom application or spreadsheet fee schedules supplied by the PPO.
If there is an auto repricing system in place already for selected PPO's, Vee would verify the reason for non-repriced claims which are kicked-out from auto repricing system. Vee would reprice these claims if details are found based on the business rules/requirements. Vee would correct the information (In most of the cases the system would fail to select the appropriate provider for the claim, which Vee Repricing team would analyze) and reprice the claim.
If system is correct, Vee would send back to TPAs with reason (Non-Par, Termed, etc.)
VeeInsure can route claims that 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.
