Listed below are common questions from insurance companies, TPAs and employers alike. Provided with each question are answers to help you more fully understand our program.
“Doesn’t our claims adjudication process already involve scrubbing claims for code accuracy?”
Yes. The majority of all medical claims are electronically scrubbed for coding errors.
AmeriVeri CR does not replace this existing process; we are a secondary clearing house that verifies medical codes after the current process to find additional savings.
“Won’t the implementation of a new claims scrubbing system be a hassle and create more work for everyone?”
No. After the initial decision to move forward with AmeriVeri CR, our experienced Client Services Team will handle the rest by working directly with your health plan administrators and IT managers.
“Will it have any negative effects on the health plan members?”
No. In fact, plan members won’t even know we have begun to scrub their claims.
AmeriVeri CR scrubs only for coding errors contained on health claims.
‘Balance Billing’ on these errors by providers is not permitted.
“Will it work with our current system?”
Yes. AmeriVeri CR has scrubbed behind many existing adjudication systems and has proven its flexibility to adapt to even the most custom processes.
“Won’t this system make our company look bad for overpayments in the past?”
No. Our scrub engine is brand new technology proprietary to AmeriVeri CR. This system has not been previously available.
“Won’t this create a lot of work for our legal department and take them a long time?”
No. AmeriVeri CR provides all legal documents for review and modification.
