Claims Management

1. Claims Management 489 Fifth Avenue 19th Floor New York, NY 10017 www.veetechnologies.com

2. One of the most significant concerns facing healthcare firms today is the rising cost of claims and the complexity of claims management. Vee Technologies specializes in enhancing revenue and streamlining operations through process improvement. Through integrated process redesign and technical advances, our claims BPM and KPM services result in considerable cost and turnaround time cuts for payers. With our paper on EDI conversion, repricing, and rule-based auto adjudication support services, payer clients can save even more money. Claims Conversion Many payers and third-party administrators (TPAs) receive paper claims that must be turned into an electronic data interchange (EDI) format before being placed into the system for processing and payment. Vee Technologies is a claims conversion outsourcing pioneer with demonstrated competence in insurance claims services and healthcare claims conversion. We have assisted in the processing of over one billion claims during the last 20 years. Our consumers are drawn to our claim's conversion procedure because of its constant quality and quick response time of 24-48 hours. We work around the clock to provide the highest-quality claims conversion services to our clients. Claims Repricing Healthcare plans, third-party administrators (TPAs), and other cost reduction organizations use Vee Technologies' preferred payer organization (PPO) repricing services. info@veetechnologies.com www.veetechnologies.com

3. Our cutting-edge PPO repricing solutions can cut our clients' overall expenses by up to 50% while also improving turnaround time and quality. Our repricing solutions have been shown to save money, lower healthcare claims expenses, and improve client happiness. Claims Adjudication Support Vee Technologies uses a methodical workflow to efficiently generate healthcare claims for payment, recognizing that correct and timely processing and payment of claims is a vital customer satisfaction measure for TPAs and health plans alike. Vee Technologies has assisted its clients in adjudicating over 60 million claims, with an accuracy rate of 98 percent. We have extensive experience processing medical, dental, vision, and prescription (drug) claims in a variety of systems. EDI 5010 Because of the cost and relational benefits, electronic data interchange (EDI) has become a strategic business tool. Indeed, it is believed that up to 80% of printed computer output gets reentered into a new computer. info@veetechnologies.com www.veetechnologies.com

4. By automating this procedure, Vee Technologies' EDI conversion solution saves time and money. Our approach boosts efficiency, boosts productivity, and cuts down on errors. Pre-Adjudication Support to Enhance Auto Adjudication Rate Payers and third-party administrators (TPAs) set up their claims engines to automatically adjudicate claims received from providers. The claims engine uses the client's database to verify member/patient eligibility and provider information on a claim during auto-adjudication. Any claims that do not match are sent to the adjudication queue for manual review. Manual adjudication, on the other hand, causes quality to fluctuate because it can never be as efficient or exact as the auto- adjudication procedure. Vee Technologies solves this problem by comparing member and provider information on claims to the client's database before they're ever entered into the system. info@veetechnologies.com www.veetechnologies.com