VisionClaim Insight® is a prepayment fraud, abuse and overpayment prevention service. It’s designed to help you improve claims payment accuracy, detect fraudulent providers and reduce vision claims costs. By combining our advanced Code Validator Pro® (rules-based) and Fraud Finder Pro® (profiling) software systems, you get access to better technology. By relying on our experienced clinicians for suspect claim and provider validation, you get better results.
HCI goes to bat for the client and the patient to be sure the provider is being fair and just Orlo L. "Spike" Dietrich The Ansley Group
An estimated 3% - 10% of the national outlay for ancillary care, Including, vision care, is lost to fraud and waste annually. By 2013, losses could exceed $8 billion. That's a loss of $22 million daily.
Stop vision claim fraud, abuse and waste. Increase profits and payment accuracy.
Our clinical validation process delivers less false positives and better results.
Avoid “pay and chase” detection with prepayment analysis on 100% of claims.
Get access to the most advanced fraud models and SaaS applications available.
Get help from licensed nurses and coders. Get appeals support, reporting and more.
No two payors are alike. Customize your fraud solution down to the last bit and byte.
You don’t have time to hold up processing. Get real-time protection with real results.
Unilke others, we bundle supplemental editing and fraud prevention in one solution.
Want more information? View and download the VCI service brochure.
Still need convincing? Read and download customer case studies and testimonials.
Rather watch a video? Check out our latest webinars, tutorials and commercials.
Ready to take the next step? Request a free VCI trial and Cost Reduction Analysis.