Healthcare Payer Services

Our Healthcare BPO 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 other industry specialty companies. Our Healthcare Outsourcing solutions offer customized and scalable services combining our best practices with state-of-the-art technology.

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 cost and improve efficiencies.

Transforming your back office processes to meet your goals-cost reduction, improved customer communication, and increased member access

Viaante has strong domain competency, Operational expertise & IT Skills to support your claims processing operations

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 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 check for benefits or insurance claims.

Viaante provides support in managing memberships by providing domain experts and smart technology to help payors reduce their operational cost & 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.

Viaante helps in efficient management of claims operations from Form Submissions, Mail Room Management, Indexing and Adjudication to payments. We provide support in automation of voluminous and repetitive processes and help in enabling data-driven decisions using advanced technologies which 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.

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 thereby increasing their claims 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 CVO’s and assist in Credentialing and Re-Credentialing Providers as per URAC and NCQA guidelines.

Our pricing models allow our clients to continually decrease transaction costs – beyond the initial labor arbitrage – as the processes become more productive through the deployment of cutting-edge technology, superior skill set, advanced workflows, and project scale increases. This can include Claims Processing to Provider Data Management to Member Enrollment Processing and Customer Contact Centers to full business office outsourcing services.

Viaante partners with 2 of the Top 5 TPA’s in the US, Leading CVO’s, Leading Bill to review software and Processing company & one of the largest worker’s compensation service provider in the US.