Aver Claims Processing, Payment & Reporting

Claims Processing, Payment & Reporting

Complete Visibility throughout Claims Management

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.

When experience matters,
trust the company who has the numbers.

0
pre-set episodes and growing
0 M+
members served
0 years
of healthcare experience
0: 1
payback ratio

Toolkit of Aver Assets – Technology and Services

Program
Design

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The only comprehensive VBC tool with the flexibility to meet both client and market needs.

Aver
Analytics

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Aver Analytics helps answer important value-based healthcare questions such as “Where are the opportunities in my market?”, “Where should I start?” and “How do I make this work with our other programs?”

Aver Network
Services

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The Aver Network Services team leverages decades of industry experience in value-based healthcare to negotiate, management, train, and strategize the right VBC provider network for payers.

Claims Processing
Management

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Aver eases the burden of value-based program administration and implements truly scalable solutions.

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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Let’s partner together to build, enhance, and strengthen programs that are a win-win for payers, providers, and patients.

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