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Monday, May 12, 2008.
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Description

VEDA (ebiller) is a system developed by Healthcode, which uses the Internet to securely distribute and validate Hospital and Specialist bills to Private Medical Insurance (PMI) companies. It works in conjunction with Hospital and practice systems and enables Healthcode to act as the UK 's medical bills clearing house.

Our systems deliver validated bills ready to be loaded into Insurer and payor adjudication or payment systems - without the need to process paper in the post room or key data.

Patient billing records captured on the Hospital Patient Administration System (PAS) or the Specialist Practice Management System are submitted to HC VEDA®. For hospitals, internal charge codes are mapped to Healthcode's proprietary Industry Standard Codes (ISC's) that are in turn mapped to and recognised by all participating insurers. Bills containing all the information required by the relevant insurer pass validation and are held on Healthcode servers until insurers collect them for processing. Over 95% of our bills pass first time, but should a bill fail validation it is displayed on VEDA (ebiller) with ‘reasons why' and prompts to fix the bill. Once satisfactorily amended by the provider it passes through the Healthcode validation cycle and awaits insurer pick up.The system generates a receipt for each bill collected so the provider knows exactly where it is. Some insurers also issue electronic status responses and remittance advices – which in turn can be downloaded into the provider system for automatic account reconciliation.

Virtually every UK Private Hospital and a growing number of Specialists trust Healthcode to send their invoices electronically via the Internet to insurers.
Provide an industry standard for e billing
Enable two-way structured information flow between Providers and Insurers facilitating automated adjudication
Ensure necessary information is provided
Web-based bills validation and management tool
Interfaces enabling disparate systems to link to Healthcode
Mapping disparate provider codes to ISC codes that are mapped to and recognised by all participating insurers
ISC code licence
Automation of insurer validation rules
Secure environment provided by 128bit encryption on Internet sessions and permanent secure lines to the insurers
Help desk support.
Descriptor lookup for ISC, CCSD and ICD codes.
Service level agreement
Comprehensive user guide
Benefits
Saves time and Money.
Electronic gateway for Insurers to all private Hospitals and a growing number of Specialists
Electronic gateway for Providers to Insurers
Drives efficiency into the process
Secure data environment
Excellent quality of data and information
Minimises administration between the parties
Submission tracking reporting on the status of a bill.
Rapid bill validation
Speed of payment.
Free to Providers
Approach

The service has been in operation since 2002 and is compatible with all major UK Patient Administration Systems and a number of Practice Management Systems Healthcode provides information packs for new clients that deal with file formats and connectivity issues. Any new systems undergo end-to-end user acceptance testing between providers and insurers with sign off sought from all parties. Providers utilising compliant software can be included without such testing.

The system exists today and is available now
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