Claims Processing, Payment & Reporting

Complete Visibility throughout Claims Management

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Aver Claims Management
0
pre-set episodes and growing
0MM
lives
0B
in medical spend in 288 markets
0: 1
payback ratio

Taking on the Administration of Value-Based Care programs with Assurance of Savings

Aver’s Bundle Benefits Management platform promotes efficient value-based care claims administration on behalf of clients. The BBM platform offers real-time solutions needed to manage every step of value-based care operations. BBM manages claims related reporting and reconciliation and communicates with the claims or finance system on the amount to be paid to the provider. At the core of the platform is the ability to operationalize any VBC program through direct communication with Aver’s fully customizable Episode Workbench application.

Aver offers a seamless integration and communication with existing claims systems, with the intent to govern all VBC-related activities. The BBM platform promotes real-time program administration, providing a natural extension of fee-for-service claims administration without additional interruption. Clients track and manage patients throughout the program lifecycle to ensure proper care management pathways are being adhered to, while avoiding pathways that result in poor quality or lower savings. The power and flexibility to handle multiple risk arrangements alleviates burdensome “pay and chase” scenarios and offers full reconciliation support.

Operational reports are developed and configured in close collaboration with the client. The reports provide transparency and key insights, including contract networking, finance, and operations. The suite of operational reports is available in an interactive portal that is accessible by SSO or portal login.

SOLUTIONS

Aver VBC Design

VBC
DESIGN

Only comprehensive Value Based Care tool with flexibility to meet both client and market need.

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Aver VBC Design

VBC
DESIGN

Only comprehensive Value Based Care tool with flexibility to meet both client and market need.

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Aver Analytics

AVER
ANALYTICS

Value Based Care (VBC) Best Practices and Reconciliation Strategy

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Aver Analytics

AVER ANALYTICS

Value Based Care (VBC) Best Practices and Reconciliation Strategy

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Aver Network Services

NETWORK SERVICES

Assisting Providers and Payers Working Seamlessly for a Common Goal

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Aver Network Services

NETWORK SERVICES

Assisting Providers and Payers Working Seamlessly for a Common Goal

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Aver Claims Management

CLAIMS MANAGEMENT

Complete Visibility & Transparency throughout Claims Management

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Aver Claims Management

CLAIMS MANAGEMENT

Complete Visibility & Transparency throughout Claims Management

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Aver Solutions
Contact Aver for an easy start to a complicated thing.

Find out how Aver simplifies value-based healthcare.

From our suite of purpose-built software products, to our deep bench of expertise in alternative payment methods— Aver eases the transition from fee-for-service to value-based contracts.

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