HEALTHCARE SPEND VERIFICATION

Independently Verify What You Should Actually Pay Across Healthcare Claims.

Vaudit reconciles claims, contracted rates, eligibility, rebates and billing data to identify and prove discrepancies across healthcare spend.

Healthcare Industry – Hero Visual (designer PNG pending)
THE PROBLEM

Healthcare Claims Are Too Complex to Verify Manually.

Healthcare spend can involve large volumes of claims, contracted rates, eligibility rules, discounts and rebates. Verifying what should actually be paid requires checking the underlying claim against the financial terms that should apply.

CONTRACTED RATE MISMATCHES

Identify claims where the billed amount does not reflect the contracted rate that should apply.

DUPLICATE & INELIGIBLE CLAIMS

Identify duplicate claims and claims that do not meet applicable eligibility requirements.

REBATE & DISCOUNT DISCREPANCIES

Check whether applicable rebates and discounts are correctly reflected in the financial outcome.

WHAT VAUDIT CHECKS

What Vaudit Verifies Across Healthcare Claims.

Vaudit checks the claim, pricing and contractual variables that determine what should actually be paid.

CLAIM DATAVerify the underlying information associated with each claim.
CONTRACTED RATESCheck charges against the rates that should apply.
ELIGIBILITYVerify applicable eligibility information against the claim.
DUPLICATE CLAIMSIdentify duplicate claims within the underlying data.
PRICINGCheck the pricing applied to the claim.
DISCOUNTSVerify applicable contractual discounts.
REBATESCheck applicable rebates against the financial terms.
ADJUSTMENTSVerify applicable claim and billing adjustments.
INDEPENDENT VERIFICATION

How Vaudit Independently Verifies Healthcare Claims.

Vaudit brings together contractual terms, underlying claim data and billing records to independently determine what should actually be paid.

Healthcare Industry – Verification Visual (designer PNG pending)
HEALTHCARE PROVIDER COVERAGE

Verify Healthcare Spend Across the Providers You Use.

Healthcare providers and claims environments can apply different rates, eligibility requirements and financial terms. Vaudit uses the relevant billing logic to verify what should actually be paid.

PLACEHOLDER: CONFIRMED HEALTHCARE PROVIDERS TO BE ADDED
BEFORE AND AFTER PAYMENT

Prevent Healthcare Overpayments Before Payment. Recover Them After.

Where the underlying workflow permits, Vaudit identifies eligible discrepancies before payment. If an incorrect amount has already been paid, Vaudit provides the evidence required to pursue recovery.

BEFORE PAYMENT

Verify what should actually be paid before money leaves.

  1. 01Healthcare Claim
  2. 02Vaudit Verification
  3. 03Discrepancy Identified
  4. 04Verified Amount Paid
AFTER PAYMENT

Recover verified amounts that should not have been paid.

  1. 01Claim Paid
  2. 02Vaudit Verification
  3. 03Discrepancy Proven
  4. 04Recovery

Find Out What You Should Actually Be Paying Across Healthcare Claims.

Start with a free audit and see what Vaudit finds across your healthcare spend.

Start Your Free Audit
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$100M+ Recovered for our Clients.
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