Viant's best-of-breed solutions create extraordinary savings opportunities for today's payers, resulting in material improvement to medical and administrative loss ratios and customer satisfaction.
Network Services Viant provides an industry-leading, national PPO network and a host of specialty networks including home infusion, long-term care, transplant and more. Viant networks can be utilized on a national, wrap or supplemental level in support of a customized network development strategy.
Network Management Services Acting as a network management engine behind the scene, Viant's technology addresses the need for accurate, consistent and timely claims payment through a powerful repricing application and provider database that complements existing client systems. These automated solutions ensure that the right claim is matched to the right provider and the right network contract, and then repriced accurately, regardless of the complexity of contract terms.
Pre-Payment Services UCR Facility Repricing and Professional Negotiation Services are available to address claims before payment is made. Both options support benefit plan language, which state that medically necessary goods and services consumed will be paid at the lesser of the usual, customary or reasonable charge. Our Professional Negotiation Service is facilitated by expert staff with medical and financial backgrounds who review each claim to assess appropriate reimbursement levels and contact doctors/facilities to negotiate a reduction in total bill charges.
Post-Payment Services Hospital Bill Audit, DRG Validation, Contract Compliance and Specialty Injectable Medication Audits are available to help identify and recover meaningful savings from previously resolved claims. Audits are performed by field nurse auditors, DRG coding analyst and contract compliance specialists, resulting in a signed provider agreement on each claim.
Viant Value An integrated, end-to-end claims cost management capability reaps significant financial and competitive benefits for payers that deploy them. Regardless of where your organization is positioned at this time, whether you are the market leader or something otherwise, these capabilities will significantly reshape the claims aspect of the healthcare transaction over time. The question for you is, is it time?
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