Services
Veridign Health Solutions Provides Customized Solutions
Whether you’re expanding into new Medicare markets or looking to revitalize a retiree group health plan, Veridign Health Solutions has the operational capacity to provide full back-office processing and support, as well as middle office (PBM, Medical Management, Network) and front office (Marketing consulting and support). By outsourcing your Medicare Advantage administrative services to Veridign Health Solutions, you benefit from our expertise in Medicare and Medicaid operations and regulatory compliance without building an infrastructure of your own—minimizing your costs while maximizing your opportunities.
Veridign Health Solutions offers a turnkey, full-service solution — or a scalable economical solution, if there are specific areas you wish to outsource. We don’t believe in “one-size-fits-all” and we will work with you to develop a custom solution that fits your business goals.
Core Services:
Client Account Management Services
- Customer-Oriented Planning & Execution
- Efficient Implementation Planning & Execution
- Comprehensive End-to-End Testing
Member & Provider Services
- Eligibility Verification and Enrollment Processing
- Member Services
- Monthly CMS Reconciliation
- Member Appeals & Grievances
- Provider Network Information Management
Claims Management
- Benefit Coding
- Claims Imaging, OCR, Adjudication and Resolution
- Part D Coordination
Revenue and Financial Services
- Accounts Payable
- Premium Receipts/Financial Reconciliation
- CMS Revenue Management
- Customer Billing
Value-Added Services:
Data Management Services
- Data Management
- Reporting
- Fraud & Abuse
- HIPAA/Privacy
CMS Compliance
- Application Assistance & Filing
- Communications
- Audit Support
- Consultative Services
- Compliance Training
Marketing & Customer Capture
- Individual & Group Marketing
- Member Mailings & Outreach
- Member Retention
- Sales Staff & Broker/Agent Marketing Compliance Training
- Compliance Certification & Re-Certification
Contact Us
To learn more about how Veridign Health Solutions can help your organization reach new levels of success, contact us for a free, no obligation consultation today.