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Case Study

Veda Partners With Mid-Atlantic BCBS Plan to Save Millions in Administrative Costs

improvement in network adequacy
0 %
reduction in direct mail & call center costs.
0 %

Overview

After a CMS audit, this national health plan had a 43% data accuracy score. Hiring 20 people to manually fix the data would cost an additional $1 million+. The plan used Veda’s Quantym product that automates accuracy checks on provider directories to meet compliance requirements. 

Results

  • 97% improvement in network accuracy
  • 95% average data accuracy in CMS audit fields. The accuracy threshold is guaranteed in the contract.
  • Significant savings in operational cost including FTE cost avoidance, 20% reduction in direct mail and call center costs, and 10% non-par payments resolved to par providers