In typical Administrative Services Only (ASO) agreements, the claim processors adjudicate claims for an employer for a fee – without the financial risk involved in being the insurer but then how does one ASO differentiate themselves from others? Could there by some value-add opportunities to offer to your clients? VegaLytics Health can provide you that competitive edge. A strong analysis of claims looks at historical patterns, outliers, and clinical standards to identify early claim leakages before adjudication, any fraud, waste, and abuse patterns and then works to prevent it from happening in the first place.
Platform provides monthly/quarterly customer reporting package with thorough insights about early claim leakages, avoidable ER, Episode cost of care, utilization metrics, and many more.
