HIPAA Claims Framework

Virtusa’s HIPAA claims framework allows healthcare payers to overcome the limitations of previous HIPAA versions and reduce the cost of providing healthcare services by:

  • Improving the scope and degree of automation of claims processing
  • Increasing the accuracy and efficiency of EDI transactions between trading partners
  • Achieving high degree of standardization within transactions
  • Allowing faster transaction processing capabilities

Virtusa’s compliance solutions

Our solutions are aligned with important compliance mandates and enable payers to eliminate the risks of non-compliance including lost market share, brand damage and financial penalties, etc.

Our compliance solutions span:

  • Data. Industry standards, quality, privacy and security
  • Process. Rules, policies, procedures and decisions
  • Audit. Transaction and domain level analytics and dashboards