Vesta EVV for Payers

Vesta EVV for Payers

For Payers

Vesta EVV provides State Agencies and Managed Care Organizations with full visibility of Provider EVV Compliance data to streamline claims and reduce fraud.

The Trusted EVV Solution for Payers

Vesta EVV provides Payers with a “real time” shared view of the EVV data from their network of providers. This ensures medicaid beneficiaries are receiving services they are authorized to receive, streamlines the authorization and billing process, and offers complete visibility between Payers and Providers. The Vesta EVV system is a comprehensive closed-loop system that allows for prospective (before billing) adjudication of claims validation with EVV data. Vesta can also be adjusted to an open-loop system to meet the individual needs of different payers who may want validate claims retrospectively (after billing).

 

How Vesta EVV Works

VisitPlan

Based on service authorizations, VisitPlan makes it easy for providers to create schedules and assign employees to individuals that are receiving services.

VisitLog

 Each night, Vesta loads the next day’s schedule into the VisitLog As employees send start and end times to Vesta, that data is reconciled with the VisitLog.

VisitClock

VisitClock is the reliable and fully compliant tool that provider employees use to log their visits. VisitClock offers three methods to log in visits including a mobile app, landline IVR and time clock token.

VisitVerify

Visits that coincide with the VisitLog will be automatically verified. Visits that can’t be automatically verified can be verified manually in the VisitVerify visit maintenance interface. 

VisitClaims

Each night Vesta transmits verified visit data to payers for claim validation. Provider billers can use Vesta to generate and transmit claims for verified visits. 

VisitReports

Vesta provides complete visibility and electronic documentation with comprehensive reporting features. Say goodbye to information lags and documentation gaps.

Vesta EVV is the number one EVV vendor in Texas successfully serving over twelve Managed Care Organizations, including United HealthGroup, Superior HealthPlans, Molina Health Plans, Anthem, Cigna-HealthSpring, Aetna, and Blue Cross Blue Shield.  

Benefits for Payers

For payers searching for a reliable EVV system that provides direct visibility, complete documentation, and the flexibility to grow as compliance regulations change, look no further than Vesta EVV.  With Vesta EVV payers are able to:

  • View network of providers’ EVV data in real-time
  • Make certain patients are receiving the service hours they are authorized to receive
  • Ensure that claims payments align with service delivery hours
  • Eliminate fraud
  • Ensure complete visibility to improve operations and individual care
  • Receive comprehensive electronic documentation
  • Access from anywhere, at anytime with our cloud based platform
  • Enjoy a user-friendly interface
  • Take advantage of thorough training and excellent customer support
  • Meet all federal and state EVV Compliance Requirements
  • Meet HIPPA Compliance Requirements
  • Avoid software installations and updates

2,600

Medicaid ProvidersThe number of Medicaid providers that Vesta serves.

150,000

IndividualsThe number of Medicaid eligible individuals that Vesta serves.

300,000

Daily TransactionsThe number of daily EVV transactions that are collected each weekday.