Life Cycle of a Claim

Health Benefits Administration Software | Self Insurance Administration Software | Repricing Software | Claims Payment Software | Medicare Pricing Software | Benefit Plan Management software | Capitation Software | EDI software

VISOVA allows you to apply your business rules to determine all aspects of a healthcare transaction.

Visova has the tools:

  • Duplicate detection methods
  • Enrollment determination
  • Pre-Certification and Referral restrictions
  • PCP Involvement
  • COB Rules
  • Process method (re-price, adjudicate, bill, encounter etc)
  • Rate and Payment controls
  • Output determination
  • Ranking and routing
  • Out of Network handling
  • Messaging (internal and HIPAA)
  • User defined rules, edits, bundling/unbundling
  • Filters
  • And many other tools at your fingertips to aid in automation.