Authorization Services

Here's how VBASoftware's Authorization Services can help you:
  • Each Authorization maintains Requested vs. approved vs. actual visits, amounts, time frame and more allowing for detailed reporting and analytics
  • Manage Authorization Status through configurable Approvals, Pends, and Denials with reason codes that automatically apply to claims
  • Unlimited Diagnosis Codes and Procedure Codes can be identified with each authorization with additional Modifier options
  • Correspondence Tracking stores all relevant letters sent to Members and/or Providers and gives administrators control over followup frequency, notification details and more
  • Configure notification E-mail of approvals to requesting Provider and/or Referring Provider
  • User-defined medical algorithms allow for process automation and auto-adjudication
  • Tight integration with VBAdjudicate allows real-time calculation of IBNR using all defined pricing components (Per-Diem, FFS, DRG, etc.)
  • Leverage VBASoftware Notes module allowing unlimited entry of utilization, eligibility, and provider notes while also storing any number of relevant attachments
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See what VBASoftware can do for your business

VBASoftware is designed to allow you to administer any line of business your way. VBA offers unlimited flexibility and robust functionality utilizing the latest in cloud-based technology. Don’t sacrifice. Have it all with VBA Software.

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