Complete Claims

Complete Claims

Complete Health Systems
Virtual Benefits Administrator (VBA)

Virtual Benefits Administrator (VBA)

Virtual Benefits Administrator
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About

Claims Adjudication for medical, dental, vision, prescription, short and long-term disability claims. Available for on-site license or as a hosted application (ASP). Microsoft technology: SQLServer database with a Windows front end. Acclaimed Customer service staffed by health care claims experts with a minimum of 12 years’ experience in the field. Support calls are logged with status available via the internet. Plan copy and modification feature enable quick setup of plans. Auto-adjudication using benefit codes built using business rules based on over 25 variables from both the claim and the claimant records made available to the adjudication engine. Inbound claims can be scanned images, EDI or paper. HIPAA EDI 5010 transaction sets. Re-pricing fee and UCR Schedules can be loaded on the system in advance of the effective date. The date-driven logic will re-price based on the date of service.

About

Virtual Benefits Administrator (VBA) is the industry's leading cloud-based benefits administration software solution. With a robust functionality and unlimited flexibility, VBA allows users to build and manage medical, vision, dental, disability, Medicaid, Medicare, Medicare Supplement, care management, long-term care health benefits, health savings accounts (HSAs), flexible spending accounts (FSAs), health reimbursement accounts (HRAs), and COBRA.

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Audience

Businesses in need of a tool to manage their claims adjudication processes

Audience

For health care TPAs, all healthcare payers, dental plans, employee benefits administrators, vision plans, pet insurance, disability administrators, legal insurance, RX claims, and more.

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

Support

Phone Support Supported
24/7 Live Support Supported
Online Supported

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

Pricing

No information available.
Free Version Not Supported
Free Trial Supported

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation Not Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported

Company Information

Complete Health Systems
completehealthsys.com/claims/

Company Information

Virtual Benefits Administrator
Founded: 1997
United States
www.vbasoftware.com

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Alternatives

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PlanXpand

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Context 4 Health Plans Suite

Context 4 Health Plans Suite

Context4 Healthcare
Hi-Tech Series 3000

Hi-Tech Series 3000

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Summit

Summit

DataPath
HEALTHsuite

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Categories

Claims Processing Supported
Health Insurance Supported

Categories

Claims Processing Features

Adjustor Management Supported
Case Management Supported
Claim Resolution Tracking Supported
Co-Pay & Deductible Tracking Supported
Compliance Management Supported
Customer Management Supported
Electronic Claims Supported
Forms Management Supported
Paper-Based Claims Supported
Payor Management Supported
Policy Administration Supported

Benefits Administration Features

Claims Management Supported
COBRA Administration Supported
Deduction Management Not Supported
Disability Insurance Administration Supported
Employee Benefits Administration Supported
Flexible Spending Accounts Not Supported
FMLA Administration Supported
For Brokers Supported
For Employers Supported
FSA Administration Supported
Health Insurance Administration Supported
HIPAA Compliant Supported
Life Insurance Administration Supported
Online Benefits Enrollment Supported
Premium Billing Not Supported
Provider Management Supported
Retiree Administration Supported
Retirement Plan Management Not Supported

Integrations

Context 4 Health Plans Suite Not Supported
Magellan Rx Not Supported
RedCard Not Supported
Southern Scripts Not Supported

Integrations

Context 4 Health Plans Suite Supported
Magellan Rx Supported
RedCard Supported
Southern Scripts Supported
Claim Complete Claims and update features and information
Claim Complete Claims and update features and information
Claim Virtual Benefits Administrator (VBA) and update features and information
Claim Virtual Benefits Administrator (VBA) and update features and information