VBAGateway Provider Terminal

VBAGateway is an administrative web portal using the latest web technologies.

Dynamic contract structures and robust reporting keep carriers happy

The VBAGateway Provider Terminal grants unparalleled access to claims and eligibility data through a rich and evolving user-experience that aims to engage providers. Providers utilizing VBAGateway translates directly to administrative savings. The Provider Terminal gives a registered user the ability to quickly check relevant eligibility information and claim status as well as submit a number of real-time requests like pre-authorizations and claims.

Here’s how VBAGateway Employer Terminal can help you:

Feature-Rich Software

TitleAnnouncements POD – This POD displays announcements that have been broadcast by different entities. An announcement can be broadcast from the administrator or from VBA. The provider is given a visual cue as to the source of the announcement along with the importance of the announcement. Providers can view the details of an announcement by clicking on that announcement.

TitleRequests POD – This POD displays the requests that have been generated by the provider. Requests are sent, real-time, to the VBA application allowing the administrator to Accept or Reject the request. A user can make a number of requests including address changes, pre-authorization entry, updating an NPI or a number of other code updates.

TitleEligibility POD – This POD gives the provider the ability to search enrollment details for patients and enrollees that participate in their networks. The provider is given details about enrollments, family structure, other insurance and PCP details along with a live accumulator snapshot.

TitleClaims POD – This POD is an interactive grid allowing for the search of any claims billed by this provider. The VBAGateway interactive grid allows the resulting claims list to be sorted and grouped while still exposing all the necessary information in an easy-to-read format. Expanding a claim allows the provider to view the details of that claim including individual services along with billed, allowed, member responsibility, not covered and paid amounts. The provider can also bring up the remittance detail behind any claim that has been processed by the administrator.

TitleProvider Card – The provider card can be pulled down by selecting the profile option on the VBAGateway header band. The provider card displays the demographic information for the provider associated with this registered user. The provider card also displays the networks and specialties assigned to this provider in the core application. On the back of the Provider Card, the provider can manage their profile information as well as view what other IDs are associated with this entity.

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