Outdated claims systems hinder agility, increase administrative overhead, and frustrate members. VSI Technologies empowers healthcare payers with modern, interoperable, and automated claims administration platforms that support value-based care and regulatory compliance.Key
Challenges
- Legacy systems lack real-time adjudication
- Complex claims rules and payment integrity gaps
- Manual exception handling and member dissatisfaction
VSI's Core Claims Administration Solution1. Rules-Based Auto-Adjudication Engine2. FHIR-Enabled Claims Interoperability Framework3. AI-Driven Claims Editing and Fraud Detection4. Self-Service Dashboards for Providers and Members
Business Outcomes
- Up to 90% claims auto-adjudication rates
- Reduction in fraud and overpayments by 25%
- Enhanced member trust through real-time claims visibility
Conclusion
Transform claims from a cost center into a competitive differentiator. VSI makes claims smarter, faster, and patient-centered.
