"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 - Healthcare Payer Operations

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.

MEMBERSHIP-MANAGEMENT

Enrollment

Eligibility Management

Plan Loading & Management

Policy Maintenance

Member Support

CLAIMS ADMINISTRATION

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

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.

PROVIDER DATA MANAGEMENT

Database Management

Credentialing

Continuous Maintenance

Contracts Management

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.

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.

V-capture-tool

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.

INSIGHTS

0
Million+
Healthcare Transactions Processed Annually
0
+
Employees Deployed in Healthcare Operations
0
%
Lower Cost of Operations
0
%
Document Accuracy Rates
<
0
Hours Turn Around

Why Choose Us:

  • 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.

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

WHY VIAANTE

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 review software and Processing company & one of the largest worker’s compensation service provider in the US.

VIAANTE VALUE PROPOSITION

Substantial increase in auto-adjudication rate

Complete process transparency

Demonstrated benefits using automated workflow and RPA

Reduction in administrative costs

Partner with Us

Enquire with no obligation

TESTIMONIALS

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.!

A specialty provider workers' compensations services industry

viaante, healthcare payer
5
2020-08-28T17:30:22+05:30

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.!

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.

US based insurance company 

viaante, healthcare payer
5
2020-08-28T17:29:16+05:30

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.

Always a pleasure working with this team. The consistency of execution and communication are always appreciated!

A nationally-recognized, regional not-for-profit health plan

viaante, healthcare payer
5
2020-08-28T17:31:31+05:30

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!

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.

One of the Global Leaders offering a range of life insurance products

viaante, healthcare payer
5
2020-08-28T17:33:14+05:30

One of the Global Leaders offering a range of life 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.

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.!

A leading Insurance company in West Coast, USA

viaante, healthcare payer
5
2020-08-28T17:32:27+05:30

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.!
5
5
viaante, healthcare payer

FAQ's

Viaante is a company that offers outsourcing services to various industries, including healthcare payers. Here are some ways in which Viaante can help healthcare payers:

  1. Claims Processing: Viaante can handle claims processing services for healthcare payers, ensuring accurate and timely adjudication of claims. They can help with claims data entry, verification, coding, and review processes, reducing errors and improving efficiency.
  2. Customer Service: Viaante can provide customer service support to healthcare payers, assisting with member inquiries, resolving issues, and providing timely and responsive support. This can help enhance member satisfaction and retention.
  3. Enrollment and Eligibility Verification: Viaante can assist healthcare payers with the enrollment process by managing member data, verifying eligibility, and ensuring accurate documentation. This helps streamline the onboarding process for new members.
  4. Provider Network Management: Viaante can support healthcare payers in managing their provider networks by handling tasks such as credentialing, contract management, network expansion, and maintaining provider relations. This allows payers to effectively manage their network while reducing administrative burdens.
  5. Utilization Management: Viaante can help healthcare payers with utilization management activities, including pre-authorization, concurrent review, and case management. Their expertise in this area ensures appropriate utilization of healthcare resources and improves cost control.
  6. Data Analytics and Reporting: Viaante can provide data analytics and reporting services to healthcare payers, helping them gain insights into utilization patterns, cost trends, and performance metrics. This enables payers to make data-driven decisions and improve operational effectiveness.

By leveraging Viaante's outsourcing services, healthcare payers can benefit from their expertise, scalability, and technology infrastructure. Viaante's services can help streamline operations, improve efficiency, reduce costs, and enhance member and provider satisfaction for healthcare payers.

Viaante helps 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 and advanced workflows. 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.

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