Winning Physician Acceptance!

Breakthrough "Wizards" take the Complexity our of Electronic Payment Posting!

Automated posting directly into the practice billing system with the complexity of 835 EDI Files, winning physican adoption of electronic deposit, saving millions in paper costs, and dramatically improving revenue collection!

About Us
VestaCare’s mission is to provide the best array of "Software as Service" technologies and services to enable organizations to maximize their processes, the effectiveness of their people and the financial results of their business. VestaCare combines the following three principle disciplines to effect this purpose for each industry it serves, and in general for each product and process automated;

Human Expertise - The most important asset of any organization is its people. By capturing the essence of their expertise and decision-making, VestaCare allows the people within organizations to step up to a higher level of personal contribution and focus, thereby improving effectiveness and the financial results of the business.

Expert Systems “Wizards” - VestaCare has developed and patented expert system engines that literally “learn” the behavior of people and can apply that behavior in advanced decision-making situations. Imagine having a “Wizard” as your personal assistant to both perform routine tasks, and to advise and alert on complex matters requiring human participation.

System Integration Technologies and Connectivity Infrastructure - Proprietary software interface tools permit connectivity and remote control of any target application. As a foundation technology, this permits clients to deploy the "VestaCare Wizards" and human expertise across a wide range of systems and processing environments, achieving breakthrough levels of automation!

Services
Your solution for Posting Electronic Remittance Advices while enhancing your ability to recover revenue.

FEATURES of APM:

• Automates the posting of ERAs directly into the Practices billing system improving accuracy and consistency of posting and freeing up staff resources to focus on billing improvement actions.
• Eliminates EDI interfacing and file transfer demands required from conventional clearinghouse approaches to Electronic Remittance Advice processing.
• Automates posting to any Practice Management System with ability to be installed by Billing-level staff.
• Translates the HIPAA 835 EDI posting file into ICONs using a unique mapping and logic decision-making tool that resolves differences between Payor formats.
• Facilitates recovery of revenue from denied claims, by identifying coding combinations that are valid from those that are submitted incorrectly.
• Applies special keys that require correct entry before releasing the coding combination results, as a precaution against fraudulent use of the coding.
• Identifies supplemental and secondary insurance billing opportunities and facilitates practice creation and submission of supplemental and secondary insurance claims, using automated mapping to directly implement the secondary billings.
• Facilitates capture and organization of denied claim data into a “Electronic Dispute Container” that can be submitted in real-time back to the Payor, by-passing paper and mail-based resubmission processes.