Sophisticated Solutions

Which claims are driving costs?

Are claims being paid on time?

Can I flag or stop questionable claims?

Do members see real - time claim status?

Are we NSA and IDR compliant?

Claim Intake to Payment on One Platform

Streamline the whole process to capture more revenue before it goes out.

Drive true value for you and your members.

This flexible claims solution integrates with provider, payer, employer, and member data to deliver:

  • Medical, pharmacy and custom claims
  • Real-time claims adjudication
  • Customer rules and editing
  • Cost trending and analysis
  • Batch review, approval & payment automation
  • Pricing
  • Paper and electronic payments and EOBs

Plus:

  • 60% fewer claim status calls
  • 100% QPA audit compliance
  • Integrated ERA/EFT + reconciliation

Viveka has a 40% faster claim cycle

40%

Increase