Verio Technology

Over the last decade, the health care payer industry has faced daunting challenges as it has wrestled with the need to control cost, provide transparency, and comply with regulations like HIPAA, SOX etc.

The Payers, both large and mid-small size organizations, also had to respond to growing trends of consumerism and real-time responses.  Experts agree that the recent developments with health care reform further complicate this already demanding landscape.

Let Verio Technology help you navigate these critical issues by bringing over 50 years of experience in the Payer industry.  We specialize in delivering strategies and systems that improve efficiencies, reduce costs, and improve performance, often times working jointly with client team.

Verio Technology’s management team are acknowledged leaders in health care IT with a proven track record of leading and delivering innovative, cost-effective solutions.

Expertise includes:

• Consumer Driven Health Plans
• Claims Adjudication and Payment
• Web Portals (Member, Provider, Employer, Shopper etc)
• Benefits Enrollment, Membership, Eligibility
• Plan Design and Product Configuration
• Utilization Review/Management, Authorizations and Referrals
• Clinical Care Systems
• Provider Credentialing, Provider Networks, Fee Schedules, Provider Reimbursement Methodologies
• Systems Integration
• Premium Billing and Reconciliation
• Customer Service/Customer Relationship Management(CRM)
• HIPAA, EDI, Privacy, and Security
• Data Warehousing, Client/Operational Reporting
• Systems Implementation, Systems Migration
• Regulatory Compliance