VIP Claims Operations

The work surrounding a claim. Connected.

Manage providers, contracts, billing, invoices, payments and operational performance through one connected operating layer.

From the carrier to the service provider to the independent professional, VIP connects the workflows surrounding the claim.

Works with your claims environment — not against it.

The ecosystem

One claim. An entire ecosystem around it.

CLAIMVIP connects itCarrierService ProviderIndependent Professional
  1. Agree
  2. Assign
  3. Work
  4. Bill
  5. Review
  6. Pay
  7. Measure
  8. Improve

VIP does not manage only one part of the claim. It connects the operational ecosystem surrounding it.

Three experiences, one system

One system. Different views of the same claim.

Control the ecosystem surrounding the claim.

Manage provider relationships, agreements, fee schedules, billing, invoices, payments, compliance and performance — without replacing your core claims system.

  1. Onboard provider
  2. Set agreement
  3. Assign work
  4. Review invoice
  5. Approve
  6. Pay
  7. Measure
Provider ManagementContract ManagementAgreementsFee SchedulesBilling RulesInvoice WorkflowsInvoice ReviewAutomated Invoice AuditingApproval WorkflowsPayment StatusExpense AnalyticsProvider PerformanceOperational ReportingIntegrations & APIs
The flywheel

From agreement to payment.

Every step feeds the next — and what you learn at the end changes how the next agreement is configured.

01

Connect

Connect carriers, providers and professionals.

02

Configure

Establish agreements, fee schedules, billing rules and permissions.

03

Work

Services and claims activity occur through connected workflows.

04

Bill

Invoices are generated against the applicable agreements and rates.

05

Validate

VIP checks invoices against configured billing requirements.

06

Review

Exceptions are surfaced while compliant invoices keep moving.

07

Pay

Track payment status and use supported settlement and cash-flow workflows.

08

Measure

Operational activity becomes usable intelligence.

09

Improve

Improve future agreements, rates, provider decisions and workflows.

Improve feeds back into Configure
Operations and intelligence

Operations create the data. Intelligence makes it valuable.

VIP Claims Operations

Do

ManageConfigureAssignWorkBillReviewApprovePay
rateIQ™

Know

BenchmarkCompareAnalyzeForecastIdentifyMeasureOptimize
Ask Benny™

Ask

Ask questions across the VIP environment and turn connected data into usable answers.

One connected ecosystem

Carriers, service providers and independent professionals — the same connected claim.