Life Cycle of a Claim
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
- And many other tools at your fingertips to aid in automation.