Powerful claims software
VBASoftware Claims Services is a highly configurable, all inclusive module that allows the administration of many lines of business, including: Medical, Dental, Vision, Flex, Disability and Life. In addition, VBASoftware Claim Services has support functionality for Suspense Processing, Claims Auditing and detailed analytics and reporting.
VBASoftware includes a feature-rich accounting module that allows you to perform all the necessary financial functions of a health plan administrator. With VBA, you’ll have everything you need to easily carry a claim through the entire funding process - from requesting funds through cutting checks. Claims can be heavy, so let VBA be your software forklift.
Utilizing the VBA Authorization Module, you can rest easy knowing that you have a robust claims management and prior authorization process. VBA authorization information is tightly coupled with adjudication which allows for automatic assignment and satisfaction of approved authorizations.
Fee Schedule Services
Define any number of fee schedules and pricing structures and have them assigned by network and effective date to any number of provider records.
Why pay claims yourself when someone can do it for you? VBA Reinsurance Services allows you to define contracts to the Group, Division or even Subscriber level along with any number of defined claim criteria. Lasered deductible, tier factors, aggregate specific members, and reinsurance leveling for life claims allow you to handle any contract your sales team comes up with.