Welcome to Viaante's comprehensive Payer Services for Third-Party Administrators (TPAs)

Empowering TPAs with Seamless Payer Solutions: Elevating Efficiency, Enhancing Care.

Welcome to Viaante’s comprehensive Payer Services for Third-Party Administrators (TPAs). We specialize in delivering seamless and efficient solutions across a spectrum of service categories tailored to meet the unique needs of TPAs. Whether you’re looking to streamline new business support, enhance risk evaluation, manage policy holder services, administer premiums, handle claims efficiently, or optimize care management and agent services, Viaante has you covered.

New Business Support

Streamline your operations with our robust suite of new business support services:

  • Application Data Entry: Accurate and efficient data entry to kickstart the process seamlessly.
  • New Policy Issuance: Facilitating smooth policy issuance processes for quicker turnaround times.
  • Fulfillment: Ensuring all necessary documents and materials are efficiently processed and delivered.

Policy Holder Services

Deliver exceptional service experiences to policyholders with our range of services:

  • Policy Maintenance: Hassle-free policy maintenance for seamless customer experiences.
  • Policyholder Changes: Efficiently manage policy changes to meet evolving needs.
  • Remittances: Smooth handling of remittance processes for timely payments.
  • Premium Lapses/Renewals: Proactive management to prevent lapses and ensure timely renewals.

Premium Admin

Efficiently manage premium-related tasks with our comprehensive premium administration services:

  • Premium Processing: Swift and accurate processing of premium payments.
  • Premium and Bank Reconciliation: Ensuring financial records are accurate and up-to-date.
  • Reinsurance Reporting: Detailed reporting to facilitate reinsurance processes.
  • Financial Reporting: Comprehensive financial reporting to keep you informed and in control.

Claims Services

Optimize claims management with our end-to-end claims services:

  • Claims Intake: Seamless intake processes to kickstart the claims journey.
  • Eligibility Requirements: Ensuring all eligibility criteria are met for efficient claims processing.
  • Adjudication and Claims Review: Thorough review processes for accurate adjudication.
  • Multiple Payment Options: Flexible payment options including checks, ACH, and virtual cards.
  • Reassessments: Timely reassessments to ensure accuracy and fairness.

Care Management

Enhance care management with our integrated care solutions:

  • Careforce Network: Access to a network of trusted care providers for comprehensive support.
  • Care Management Team: Dedicated team providing personalized care management services.
  • Provider Matching Service: Efficient matching of patients with suitable care providers.
  • Care Management Support Team: Additional support for seamless care coordination.

 

At Viaante, we are committed to delivering excellence in payer services for TPAs. Partner with us to unlock efficiency, enhance customer satisfaction, and drive success in your operations.  Contact us today to learn more about how we can tailor our services to meet your specific needs.

V-Capture: Streamlining Claims Data Management

Viaante's V-capture tool

CAPTURE. SIMPLIFY. EXCEL.

V-Capture is Viaante’s cutting-edge data capture tool designed to enhance productivity, accuracy, and streamline claims data management. Here’s how it benefits healthcare payers:

Viaante's Numbers Speak

Healthcare Transactions Processed Annually
Million+
Employees Deployed in Healthcare Operations
+
Lower Cost of Operations
%
Document Accuracy Rates
%
Hours Turn Around
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Schedule a complimentary 30-minute consultation with our TPAs specialists today!

During your consultation, we can discuss:

  • Tailored Solutions
  • Expert Guidance
  • Strategic Insights
  • Efficiency Enhancements
  • Technology Solutions

Book Now for Success!

Why Choose Viaante?

Consistently met SLAs with a Customer Satisfaction score of 4.85 on a scale of 5; 4 years in a row

Proprietary developed Tools and Technologies for workflow and claims management

Cost-Efficiency and Scalability

Recognized by Everest

More than 3 decades of experience in providing services to healthcare payors

Certifications

Recognitions

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What Our Clients Say

Partner with Viaante

to transform your payer operations, drive operational excellence, and improve member satisfaction.