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.
Every invoice in the workflow is validated against the terms in force, and only exceptions need a human.
Connect Guidewire ClaimCenter and VIP™. Claim data flows into VIP, service-provider work links to the claim, and payment data posts back to ClaimCenter.
Keep Duck Creek Claims as the system of record while VIP manages provider assignments, contracts, invoices and payment data around the claim.
Connect Majesco Claims data to VIP so provider work, billing and payments stay tied to the claim.
Connect Sapiens claims data to VIP provider management, invoice operations and payment workflows.
Connect Origami Risk claims administration with VIP vendor, invoice and expense workflows.