The TPA (third party administrator) serves as the claim’s processors for medical and prescription claims for many self-insured employers. VegaLytics Health helps TPAs differentiate themselves from others by identifying incomplete claims, incorrect data in claims, claims outside of coverage period, and duplicate claims. VegaLytics Health detects all the early claim leakages that otherwise would have been adjudicated successfully. It also saves time by providing standard customer packages and reporting insights to your clients including:
• Utilization Metrics
• Avoidable ER
• Claims Analysis
• Top Chronic Conditions insights
• Monthly or quarterly Dashboards
