Carrier contracts and fee schedules contain detailed rules. Applying those rules consistently across large invoice volumes creates significant operational work, and traditional manual audits examine only a sample. Carriers running Sapiens ClaimsPro (core claims system) often handle claims expense accuracy outside the claim system, which means exporting claim details, assignments, invoices and payment data by hand and reconciling it later.
Every invoice in the workflow is validated against the terms in force, and only exceptions need a human. Sapiens ClaimsPro connects through VIP's integration layer (API, SFTP or custom). A carrier on Sapiens ClaimsPro would send claim details and assignments into VIP and receive invoices and payment data back; the exact method and field mapping are scoped with your team.
Sapiens ClaimsPro connects through VIP's integration layer (API, SFTP or custom). Tell us about your Sapiens ClaimsPro setup and we'll scope the connection for claims expense accuracy.
Sapiens ClaimsPro connects through VIP's integration layer (API, SFTP or custom). The exact connection is scoped with your team.
Claim details; Assignments; Invoices; Payment data.
Claims expense accuracy is built for carrier teams using Sapiens ClaimsPro, at the expense stage of the claim.
Sapiens ClaimsPro integrationClaims expense accuracy workflow