"Streamline Your Payer Operations for Seamless Healthcare Experiences"
Viaante’s Healthcare BPM service portfolio has been tailored to cater to the diverse needs of payers, health plans, third-party administrators, preferred provider organizations, workers compensation companies, medical management companies, pharmacy benefit managers and others. Our Healthcare Outsourcing solutions offer customized and scalable services combining our best practices with state-of-the-art technology involving AI & RPA
Our expertise in using Robotic Process Automation tools such as Automation Anywhere, UI Path and Blue Prism and building smart automation tools allow our clients to decrease transaction costs and improve efficiencies.Viaante has strong domain competency, Operational expertise & IT Skills to support your claims processing operations.
Unlocking Growth, Driving Success: Discover Viaante's Healthcare Payer Excellence
Viaante Business Solutions recognized by Everest Group in their Healthcare Payer Operations PEAK Matrix Assessment 2023 Report
Cafeteria Plan Administration Outsourcing (FSA/ HRA/ HSA)
Viaante is a leading provider of cafeteria plan administration outsourcing services such a FSA, HRA and HSA.
A Section 125 plan (Cafeteria Plan) is part of the IRS code that enables and allows employees to take taxable benefits, such as a cash salary, and convert them into non-taxable benefits. These benefits can be deducted from an employee’s paycheck before taxes are paid. Cafeteria plans are particularly good for participants who have regular expenses that are related to medical issues and child care.
Employees who are enrolled in a Cafeteria plan can set aside insurance premiums and other funds pretax, which can then go toward certain qualified medical and childcare expenses. Depending on where they live, participating employees can save from 20% to 40% in combined federal, state, and local taxes on a variety of items that they typically already purchase with out-of-pocket post-tax funds. Employers can save an additional 7.65% on their share of payroll taxes.
Health Savings account (HSA) is a tax-advantaged account designed to help individuals save for medical expenses that are not reimbursed by high deductable health plans. HSAs can be used to pay for medical, dental, and vision care, as well as prescription drugs.
Viaante offers comprehensive solutions to optimize the management of Health Savings Accounts (HSAs), empowering your organization and employees to make the most of their healthcare savings. Our HSA operations services streamline account management, compliance, and user experience, ensuring seamless navigation of the complexities associated with HSAs.
Viaante offers the following administration services for HSA plans.
- Account Administration: Outsourcing the administration of HSAs allows employers to focus on their core business activities. Services include account setup, contributions, withdrawals, and reporting. These services help reduce administrative burden and ensure accurate data management.
- Enrollment: Providing resources and guidance to simplify the enrollment process for employees.
- Claims Processing: Ensuring that the claims are adjudicated as per the policy. This helps prevent errors and ensures compliance with tax laws.
- Customer support: Providing contact center assistance, allowing employees to get answers to questions related to reimbursements, account balances, and card status.
- Educational Tools: Providing educational resources to employees. These tools/ guides help employees understand tax savings, eligible expenses, and how to maximize their HSA benefits.
Flexible Spending Account (FSA): FSA is used to pay for medical and dental expenses not paid by the insurance, usually deductables, co-payments and coinsurances for the employee health plans. FSA can be also used to pay certain expenses to care for dependents when the legal guardian is at work. This includes child care under the age of 13 years and day care for individual of any age who is incapable of self-care.
Viaante specializes in providing comprehensive solutions for managing Flexible Spending Accounts (FSAs), offering your organization and employees the flexibility and convenience needed to navigate healthcare expenses effectively. Our FSA operations services streamline claims processing, compliance, and educational initiatives, ensuring a seamless FSA experience for all stakeholders.
- Tailored FSA Management: Viaante customizes FSA operations to align with your organization’s unique needs, offering flexible plans that cater to diverse healthcare requirements. Our solutions empower employees to make the most of their FSA funds for qualified medical expenses.
- Efficient Claims Processing: We streamline the submission and approval process, ensuring prompt reimbursement for eligible expenses. Our advanced claims management systems minimize errors, reduce administrative burdens, and enhance overall efficiency.
- Educational Resources: Empower your workforce with knowledge. Viaante provides educational resources to help employees understand the benefits of FSAs fully. From informative materials to interactive sessions, we strive to enhance financial literacy surrounding healthcare.
Choose Viaante for FSA operations services that optimize flexibility, streamline claims processing, and empower employees to take control of their healthcare expenses.
A health reimbursement arrangement (HRA) is an employer-funded plan that reimburses employees for qualified medical expenses and, in some cases, insurance premiums. Employers are allowed to claim a tax deduction for the reimbursements they make through these plans, and reimbursement dollars received by employees are generally tax-free
- Viaante has expertise in managing and providing solutions for managing Health Reimbursement Arrangements. Our HRA operations focus on providing employee satisfaction and reducing your cost of operations. The services offered include:
- Administration and Claims Processing: Managing day to day administration of HRA’s including verification of eligibility, Processing Claims and Managing documentation
- Participant Communication and Support: Communication with HR participants providing information about account balances, eligible expenses and submission guidelines
- Technology support: Support for integration of HRA with other employee benefits such as health insurance plans, retirement account and wellness plans
Membership Management
Membership Management
Viaante’s membership management services help in the reduction of administrative burden and costs to support membership enrollment procedures. Our experienced teams and use of the latest software provide support in storing and processing accurate and up-to-date information about the patients along with the patient’s history which helps in smooth enrollment procedures and eligibility checks for benefits or insurance claims.
Viaante provides support in managing memberships by providing domain experts and smart technology to help payers reduce their operational costs & risk and improve compliance.
Viaante serves the existing members as well as new members by providing support in enrollment procedures, claim status, renewals, plan changes and day-to-day inquiries on coverage, benefits, and products.
Enrollment
Eligibility Management
Plan Loading & Management
Policy Maintenance
Member Support
Claims Administration
Viaante helps in the efficient management of claims operations from Form Submissions, Mail Room Management, Indexing and Adjudication to payments. We support automating voluminous and repetitive processes and help in enabling data-driven decisions using advanced technologies that improve efficiency, accuracy & service quality.
Viaante currently processes over 50+ million healthcare transactions annually with an accuracy of 99.5% document level accuracy for our healthcare clients. We have assisted our Healthcare clients in achieving cost-reduction goals by successfully deploying OCR technologies, building workflow automation tools and using Robotic Automation Processes.
Claims Receipt & Data Capture
EDI Processing
Claim Adjudication
Errors & Dispute Resolution
Re-Pricing
Provider Data Management
Provider Data Management
Viaante’s provider data management services ensure that all approved providers are credentialed and their data is accurately managed and updated on a periodic basis in an efficient way. We have been helping our clients by providing accurate data, increasing their auto-adjudication rates, reduce rejections & fraudulent claims.
Provider updates such as PPO affiliations, NPI, Specialties, New Provider information etc. are regularly updated on a regular basis by our experienced team.
Our Payor Credentialing team has extensive experience in working with Health Plans and CVOs and assists in Credentialing and Re-Credentialing Providers as per URAC and NCQA guidelines.
Outsourcing these services allows healthcare payers to focus on their core competencies while benefiting from the expertise and efficiency of specialized service providers. It can help reduce administrative burdens, enhance operational effectiveness, and optimize costs within the healthcare payer industry.
Database Management
Credentialing
Continuous Maintenance
Contracts Management
Policy Management
Viaante simplifies healthcare policy management with confidence, offering robust solutions for defining, implementing, and monitoring policy frameworks aligned with regulations and business goals. We streamline administration through automation and digitization, reducing manual tasks and overhead. Our platforms facilitate real-time updates, version control, and audit trails for consistent and accurate policies organization-wide. We ensure compliance through continuous monitoring, reporting, and auditing, helping healthcare payers navigate regulations and mitigate risks. Choose Viaante for compliance-driven policy management services that enhance efficiency and support growth.
Enrollment
Enrollment
Viaante provides comprehensive solutions for enrollment management, empowering healthcare payers to streamline processes, enhance data accuracy, and improve member experiences. Our services leverage advanced technology and industry expertise to optimize every stage of the enrollment lifecycle, ensuring efficient processes, enhanced member experiences, and real-time data insights. Choose Viaante for enrollment services that drive operational excellence and deliver superior value to members.
When it comes to healthcare claims processing, it is crucial to ensure accuracy, security, and efficiency.
V-CAPTURE: Our very own innovative tool to enhance productivity, accuracy and streamline claims data management.
CAPTURE. SIMPLIFY. EXCEL.
We unleash the Potential of Your Data with Viaante’s Cutting-Edge Data Capture Tool !
With V-Capture, we empower businesses to unlock efficiency and maximize their potential. Our tool simplifies the process of capturing and managing data, enabling businesses to excel in their operations.
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 Healthcare payer specialists today!
During your consultation, we can discuss:
- Tailored Solutions
- Expert Guidance
- Strategic Insights
- Efficiency Enhancements
- Technology Solutions
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Why Choose Viaante?
Experience and Expertise
With years of experience in the healthcare industry, we bring deep domain knowledge and a thorough understanding of payer operations and challenges
Tailored Solutions
We understand that each payer has unique needs. Our solutions are customized to align with your specific requirements, workflows, and business objectives.
Technology-driven Approach
We leverage advanced technology platforms and automation tools to enhance efficiency, accuracy, and scalability.
Focus on Collaboration
We believe in building strong partnerships with our clients, working closely with your team to ensure seamless integration and successful outcomes.
Commitment to Quality
We prioritize quality in every aspect of our services, employing rigorous quality control measures to deliver exceptional results.
What Our Clients Say
A nationally-recognized, regional not-for-profit health plan
Always a pleasure working with this team. The consistency of execution and communication are always appreciated!
A specialty provider workers' compensations services industry
Appreciate the pro-activeness in reaching out when volumes fluctuate beyond normal levels. Viaante have always been open to new changes to be implemented and have worked closely with transparency which makes us rely on them without a second thought.!
One of the Global Leaders offering a range of insurance products
Very pleased with the co-ordination and co-operation between the teams done at every level. Very happy working with Viaante. I personally recommend Viaante to anyone in need of any services.
US based insurance company
The team is consistently great, which helps a lot when it comes to unforeseen issues like late receipts. They are a great asset to the team.
A leading Insurance company in West Coast, USA
Always consistent with the quality of work. The team members are knowledgeble about the process and are co-operative and flexible for new implementations or changes we need. Viaante has always met our expectations and provided outstanding support till date.!
Certifications
Recognitions
You ask, we answer
Viaante’s Healthcare BPM service portfolio is tailored to cater to the diverse needs of various stakeholders in the healthcare industry, including:
- Payers: Health Insurance companies (HMO, ACO & Health plans)
- Third-Party Administrators (TPAs): Independent Self Insured TPA which manage the administration and processing of claims on behalf of self-insured organizations.
- Preferred Provider Organizations (PPOs): Networks of healthcare providers.
- Workers Compensation TPA and Insurance Companies: Handling claims related to workplace injuries.
- Medical Management Companies
- Pharmacy Benefit Managers (PBMs)
Viaante offers customized and scalable services that combine best practices with state-of-the-art technology, including OCR, AI and Robotic Process Automation (RPA). Our expertise in using RPA tools such as Automation Anywhere, UI Path, and Blue Prism allows clients to decrease transaction costs and improve efficiencies. We have strong domain competency, operational expertise, and IT skills to support claims processing operations.
A Cafeteria Plan allows employees to convert taxable benefits (such as cash salary) into non-taxable benefits. Viaante provides outsourcing services for Cafeteria Plan administration, including Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs), and Health Savings Accounts (HSAs). These plans help employees save on taxes by setting aside funds for qualified medical and childcare expenses.
Viaante’s membership management services reduce administrative burden and costs related to membership enrollment procedures. Our experienced teams and advanced software ensure accurate and up-to-date patient information, facilitating smooth enrollment and eligibility checks for benefits or insurance claims.
Viaante prioritizes data security and compliance. Our measures include:
- HIPAA Compliance: Adherence to Health Insurance Portability and Accountability Act regulations.
- ISO Certifications: Viaante follows strict data security protocols. We are ISO 9001:2015 and ISO 27001:2013 certified.
- Encryption: Protecting data during transmission and storage.
- Access Controls: Restricting access to authorized personnel.
- Regular Audits: Ensuring compliance with security protocols.
- Disaster Recovery: Preparedness for data loss scenarios.
Contact our team at marketing@viaante.com to discuss your specific needs and explore how Viaante can streamline your Payer Operations for seamless Healthcare experiences.
Partner with Viaante
to transform your payer operations, drive operational excellence, and improve member satisfaction.