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Physician Solutions
Veredi offers physicians cost-effective, user-friendly solutions that can eliminate eligibility losses, minimize claims resubmissions and allow electronic routing to most payors.
Approximately 6% of all healthcare claims are denied due to ineligibility. Most of these are impossible to recover and result in financial loss. ProIdentify™,
our online eligibility product, provides these features:
Determine a patient’s eligibility before service is provided
Obtain results within seconds over a secure web browser, eliminating wasted staff time on 1-800 calls
Single or multiple patient requests - an entire patient schedule can be processed within minutes
Decodes and organizes payor information into plain English
The result is a significant reduction in unrecoverable claims denials and losses.
Approximately 25% of all healthcare claims are denied due to claim preparation errors. There is no value to a claim that is accepted for adjudication and ultimately denied.
Competitors determine success based on claims a payor accepts for review. At Veredi
we understand that your revenue is based on claims a payor not only accepts for
review but pays.
Our exceptional Pro837™ claim editor increases payment rates as never before. Pro837 uses payor-specific edits to make sure that the claim is paid on first presentation, nearly eliminating resubmissions. Within seconds, Pro837
identifies every reason that a claims file may not be paid based on all CCI/LMRP/medical
necessity edits as well as published and unpublished payor-specific criteria which are updated weekly.
Pro837’s all-payer rules engine delivers unprecedented performance, allowing providers to:
Achieve 98% payment rate for reimbursements on first submission.
Slash receivables and days outstanding by up to 20%
Accelerate revenue collection
Reduce denial management costs
Improve work processes by identifying needed data collection improvements
ProClaimSubmit™ is a service available to users of our Pro837
claim editor and allows error-free claims to be submitted through our all-payor
clearinghouse with the click of a mouse from the Pro837 window.
Advantages include:
Clean claims automatically submitted
Secure, electronic claims submission over an internet connection
Automatic data formatting for every supported payor
Seamless connectivity to commercial and government payors
Bundled pricing offers cost effective alternative to other clearing services
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