Efficient, Accurate Claims Processing

V3 is a full-featured claims solution suitable for a broad range of product and benefit types. The system’s rules-based adjudication engine enables straight-through processes and promotes accurate claims payment. V3 CRM provides for highly tailored EOB’s and claims communications including follow ups, reminders and third party correspondence. V3 Workflow organizes and orchestrates your claims operations while V3 Imaging seamlessly routes and manages paper forms and submissions.

V3’s payment capabilities include direct and third party payments, full claim and partial claim payments, recoupments, liens/levies, combined checks, alternate payees and more. V3 supports electronic claims submission, EDI data exchange, electronic claims processing and document OCR. V3’s security and audit features help enable PII and HIPAA compliance.

Claims Capabilities

  • Life and Disability
  • Health and Illness
  • Medical and Indemnity
  • Vision and Dental
  • One Time and Recurring Payments
  • ICD9, ICD10 and CPT4 Coding
  • Type of Service Coding
  • Auto Adjudication
  • Cross Claims Validations
  • Premium Offsets
  • Authorizations
  • Limits and Exclusions
  • Notes and Overrides
  • Claim Inquiry
  • Claim History
  • Tax Reporting
  • Maker-Checker
  • Case Management
  • Appeals Management