Skip to content

FOR MEDICARE & MEDICAID HEALTH PLANS

Medicare and Medicaid health plans can stay compliant and boost Star Ratings by automating processes and attaining better data with Veda.

graphic (2)

THE CHALLENGE

Many Medicare and Medicaid health plans receive low-quality provider data that requires manual intervention. But this manual effort not only places time-consuming tasks on workers, it negatively impacts compliance, Star Ratings, and claims fallout - leading to poor member and provider experiences.

THE VEDA SOLUTION

The Veda platform supplies Medicare and Medicaid health plans with quality data, then works within their system to continuously standardize and maintain that data. Our Medicare and Medicaid health plan customers improve the provider and member experience while staying compliant. Whether you need help with Data Accuracy, Compliance, Stars ratings, Administrative Burden, Claims Fallout, Provider Abrasion, or Member Experience, Veda has the right solution to solve your data needs.

  • Provider Data Automation

    Veda Velocity automates the roster intake process to format, review, verify, and update provider files in under 24 hours (guaranteed). Health plans can reduce backlog and minimize administrative costs, claims fallout, and provider abrasion using Veda’s best-in-class platform. With accurate provider directories, health plans improve their member experiences and maintain solid Star Ratings.

  • Roster Intake

    Your unstructured, disorganized, and incomplete provider rosters are uploaded to the Veda platform, where they are standardized in your preferred format, corrected, verified, and updated for your existing database. Veda increases data accuracy by 95%, resulting in improved member experiences and Stars ratings.

  • CMS and Medicaid Compliance

    Whether you need provider roster updates or an analysis of your full directory, our platform ensures you meet or exceed compliance benchmarks. Health plans can keep enrollment and Stars ratings in good standing, all while reducing data processing time by 98% and improving data accuracy by 95%.

  • Supporting Value-Based Networks

    Constructing a low cost, high-value network requires accurate, real-time data to build and maintain trust with providers. The data about the provider, facility, and the contract needs to be valid everyday to keep accurate management of medical costs. With Veda Quantym, you can trust that your directory is always up-to-date with verified information.

  • Accurate Billing

    Real-time data accuracy is necessary to keep members in-network. Whether staying within No Surprises Act compliance or referral management, Veda Quantym reconciles and provides recommendations to update, remove, or add practice locations and validates demographic information and provider credentials to ensure accuracy and quality. This helps health plans control costs and facilitate a better member experience.

  • Increase Member Satisfaction

    It's a competitive market for shoppers and disenrollment can be detrimental to your brand and revenue. Veda guarantees the most reliable data for your members, giving them the best information to access care, while keeping you within No Surprises Act compliance.

THE VEDA SOLUTION

The Veda platform supplies Medicare and Medicaid health plans with quality data, then works within their system to continuously standardize and maintain that data. Our Medicare and Medicaid health plan customers improve the provider and member experience while staying compliant. Whether you need help with Data Accuracy, Compliance, Stars ratings, Administrative Burden, Claims Fallout, Provider Abrasion, or Member Experience, Veda has the right solution to solve your data needs.

Provider Data Automation

Veda Velocity automates the roster intake process to format, review, verify, and update provider files in under 24 hours (guaranteed). Health plans can reduce backlog and minimize administrative costs, claims fallout, and provider abrasion using Veda’s best-in-class platform. With accurate provider directories, health plans improve their member experiences and maintain solid Star Ratings.

Roster Intake

Your unstructured, disorganized, and incomplete provider rosters are uploaded to the Veda platform, where they are standardized in your preferred format, corrected, verified, and updated for your existing database. Veda increases data accuracy by 95%, resulting in improved member experiences and Stars ratings.

CMS and Medicaid Compliance

Whether you need provider roster updates or an analysis of your full directory, our platform ensures you meet or exceed compliance benchmarks. Health plans can keep enrollment and Stars ratings in good standing, all while reducing data processing time by 98% and improving data accuracy by 95%.

Supporting Value-Based Networks

Constructing a low cost, high-value network requires accurate, real-time data to build and maintain trust with providers. The data about the provider, facility, and the contract needs to be valid everyday to keep accurate management of medical costs. With Veda Quantym, you can trust that your directory is always up-to-date with verified information.

Accurate Billing

Real-time data accuracy is necessary to keep members in-network. Whether staying within No Surprises Act compliance or referral management, Veda Quantym reconciles and provides recommendations to update, remove, or add practice locations and validates demographic information and provider credentials to ensure accuracy and quality. This helps health plans control costs and facilitate a better member experience.

Increase Member Satisfaction

It's a competitive market for shoppers and disenrollment can be detrimental to your brand and revenue. Veda guarantees the most reliable data for your members, giving them the best information to access care, while keeping you within No Surprises Act compliance.

You know your business. We know data.

Learn more about our products: Velocity Process Automation and Quantym Data Quality Scoring

Case Studies

Read on to see how Veda is making an impact in the healthcare industry

FilePdf

Multi-State Payer Achieves Zero Roster backlog with Veda

FilePdf

Large BCBS Plan Achieves Data Accuracy of 99% with Veda

FilePdf

Veda partners with Mid-Atlantic BCBS to save millions in administrative costs

BEST-IN-CLASS PROTECTION

Security Overview

Our approach to security helps clients face evolving risks and security challenges with complete confidence. Veda’s Smart Automation platform protects sensitive information through our comprehensive security controls, and meets key regulations and industry-defined requirements to effectively manage risk.

Security

Veda ensures that security is a central pillar of our operating procedures. Reliability: Veda's Smart Automation platform is hosted entirely in the AWS cloud. Compliance: Veda complies with all federal and state regulations where it operates. Privacy: Veda places customer data privacy at the center of all decisions.

Reliability

The Veda Smart Automation platform is hosted entirely in the AWS cloud. We utilize network and application firewalls; vulnerability, network, and penetration testing tools; intrusion detection tools; and continuous anomaly detection to maintain platform reliability. Our comprehensive Business Continuity and Disaster Recovery programs ensure we meet industry SLA targets for our clients.

Compliance

Veda complies with all federal and state regulations where it operates and offers a fully HIPAA compliant platform. We are also one of the few HITRUST certified platforms, which also complies with ISO 27001, NIST SP 800-53, PCI-DSS, and HIPAA/HITECH frameworks. Reinforcing our persisting commitment to compliance, Veda was built based on OWASP secure coding guidelines.

Privacy

Veda places customer data privacy at the center of all decisions. Each customer is provisioned with their own tenancy within the platform. Data from each customer is encrypted with a unique customer key and stored in individual customer data stores, ensuring customer data is never mixed with other customer data.

EnvelopeSimple

CONTACT VEDA

Send us a message and we'll be in touch.

or call at 608-620-0733