THREE VITAL SURFACES
Each of these screens already holds the encounter. The provider, the codes, the payer and the member all come off the EHR feed Vital reads today, which is everything a price needs.
HEALTHCARE’S FIRST PRICING PROTOCOL
Nobody publishes what a payer pays a given provider for a given code. We model it from adjudicated claims at the NPI level, apply the patient’s live benefits, and check the result against the 835 when the claim comes back.
THE INTEGRATION
Post the encounter Vital already has from the EHR feed. The response carries the patient’s price and each conditional add-on with its likelihood.
LIVE TODAY
Every price is checked against the remit when the claim comes back.
Athenahealth and Experity in production, eClinicalWorks in flight, and an API that makes no assumption about the stack underneath.
