Claims Verification

Our Clients
Third Party Administrators
Fully Insured
Self Funded
Workers’ Compensation
Taft Hartley
Insurance Companies
Medicaid Payers

What is a Medical Code Clearinghouse?

Our job is to help our clients save their clients money. Our technology complements current adjudication and processes and identifies additional errors that are frequently overlooked.

Our only focus is the medical code as it stands today.  We do not check for benefits or eligibility.

What We Do

Almost all medical claims are reviewed for code errors during the claims adjudication process. This review is typically handled by embedded claims processing systems and is very effective. However, these systems are not frequently updated and do not take into consideration the intent of each medical code.

At AmeriVeri CR, we have been able to increase payer accuracy by updating our software regularly and capturing the full intent of all medical codes. This makes our approach truly comprehensive and in every instance to date, AmeriVeri CR has identified additional, legitimate savings for its clients.

Comments are closed.