A Third Party Administrator
Experiencing Manual Deficiencies

Claims Management - Process Innovation and Technology Resulting in Cost Reductions

Client: A major TPA

The Challenge:

Prohibitive labor costs and considerably higher turnaround time due to large numbers of manual adjudications caused by mismatched information between enrollment data and provider data.

The Solution:

Vee Technologies designed a solution that complemented the client's system. Mismatched claims are verified against the client's database and relevant matches are reported back. The provider records which did not exist or did not match are added to or modified in the system enabling auto adjudication.

The Benefits:

Manual adjudication rates were reduced by 77% resulting in savings in labor and reduced turnaround time.

In these unprecedented times, Vee Technologies is committed to doing our part to help those in need. With the ongoing spread of COVID-19 (coronavirus) and the incredible speed at which things are changing around us, organizations are continually adapting their operations and business structure. Vee Technologies has the experience and capability to help your organization through this difficult time. We've expanded our continuity plan and infrastructure to accommodate the current business needs. Please do not hesitate to contact us when your need arises, our implementation team can have you up and running quickly and efficiently.