OverviewVerus Health started with a clean slate and established the most efficient workflow processes in the industry, in a fully HIPAA EDI-compliant operation. This system redesign, combined with a highly experienced staff and very high levels of automation allow us to provide excellent customer service very efficiently. Full clinical logic editing incorporated into the core adjudication system insures accuracy in claim payment. First class Utilization Review, Case Management and Large Claim Management insure that claims are properly managed. National and regional Managed Care Networks and top-tier stop loss carriers, combined with industry-leading Rx and other vendor contracts provide the lowest net claims costs to plans administered by Verus Health. A full complement of online services, including fully integrated online enrollment, online report access, and vendor integration enhance operating efficiency and ease of use. Our objectives are to manage fixed costs and claims costs, reduce the impact of inflation trends, and simplify the work of Finance and Human Resource professionals.
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Section 125/Flex Plans: Integration with medical processing allows for direct rollover of claims one time submission ease for employees!
Broad billing and sub-accounting capabilities.
Integration with Life, LTD and other carriers for enrollment, consolidated billing.
Fully HIPAA Compliant Electronic Data Interchange (EDI):
Flexible Reporting with online access.
Online Web Access 24/7:
Best in industry contracts:
Client-owned bank accounts It is your money, after all
100% of fees identified to clients.
No offshore service providers process any of our work at any stage.
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